Wolff-Parkinson-White syndrome risk factors
|
Wolff-Parkinson-White syndrome Microchapters |
|
Differentiating Wolff-Parkinson-White syndrome from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Wolff-Parkinson-White syndrome risk factors On the Web |
|
Risk calculators and risk factors for Wolff-Parkinson-White syndrome risk factors |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Raviteja Guddeti, M.B.B.S. [3]
Overview
High-risk criteria for sudden cardiac death in Wolff-Parkinson-White syndrome during electrophysiology study include the presence of multiple accessory pathways, R-R interval <250 milliseconds in antegrade conduction of accessory pathway during inducing atrial fibrillation, sustained atrial fibrillation induced by AV re-entry tachycardia, precence of Structural heart disease such as ebstein anomaly or hypertrophic cardiomyopathy.
Risk Factors
High risk criteria for sudden cardiac death in Wolff-Parkinson-White syndrome during electrophysiology study include:[1][2][3]
- Presence of multiple accessory pathways
- R-R interval <250 milliseconds in antegrade conduction of accessory pathway during inducing atrial fibrillation
- Sustained atrial fibrillation induced by AV re-entry tachycardia
- Precence of Structural heart disease such as ebstein anomaly or hypertrophic cardiomyopathy
References
- ↑ Cohen MI, Triedman JK, Cannon BC, Davis AM, Drago F, Janousek J, Klein GJ, Law IH, Morady FJ, Paul T, Perry JC, Sanatani S, Tanel RE (June 2012). "PACES/HRS expert consensus statement on the management of the asymptomatic young patient with a Wolff-Parkinson-White (WPW, ventricular preexcitation) electrocardiographic pattern: developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). Endorsed by the governing bodies of PACES, HRS, the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), the American Academy of Pediatrics (AAP), and the Canadian Heart Rhythm Society (CHRS)". Heart Rhythm. 9 (6): 1006–24. doi:10.1016/j.hrthm.2012.03.050. PMID 22579340.
- ↑ Klein GJ, Bashore TM, Sellers TD, Pritchett EL, Smith WM, Gallagher JJ (November 1979). "Ventricular fibrillation in the Wolff-Parkinson-White syndrome". N. Engl. J. Med. 301 (20): 1080–5. doi:10.1056/NEJM197911153012003. PMID 492252.
- ↑ Pappone C, Vicedomini G, Manguso F, Baldi M, Pappone A, Petretta A, Vitale R, Saviano M, Ciaccio C, Giannelli L, Calovic Z, Tavazzi L, Santinelli V (February 2012). "Risk of malignant arrhythmias in initially symptomatic patients with Wolff-Parkinson-White syndrome: results of a prospective long-term electrophysiological follow-up study". Circulation. 125 (5): 661–8. doi:10.1161/CIRCULATIONAHA.111.065722. PMID 22215859.