Wolff-Parkinson-White syndrome
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Resident Survival Guide |
| Wolff-Parkinson-White syndrome | |
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Wolff-Parkinson-White syndrome Microchapters |
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Differentiating Wolff-Parkinson-White syndrome from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Wolff-Parkinson-White syndrome On the Web |
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Risk calculators and risk factors for Wolff-Parkinson-White syndrome |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Cafer Zorkun, M.D., Ph.D. [3]; Alonso Alvarado, M.D.
Synonyms and keywords: WPW syndrome, WPW pattern
Overview
Historical Perspective
Classification
EKG Classification | WPW Variants
Pathophysiology
Differentiating Wolff-Parkinson-White syndrome from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
Approach | History and Symptoms | Electrocardiogram | EKG Examples | Other Diagnostic Studies
Treatment
Risk Stratification | Medical Therapy | Drug Prophylaxis | Management Algorithm
Recommendations for Management of Asymptomatic Patients With Asymptomatic pre-excitation
| The class of Recommendation(COR) | Recommendations |
|---|---|
| 1 | In asymptomatic patients with pre-excitation, the findings of abrupt loss of conduction over
manifest pathway during exercise testing in sinus rhythm or intermittent loss of-excitation during ECG or ambulatory monitoring is useful to identify patients at low risk of rapid conduction over the pathway |
| 2a | An EP study is reasonable in asymptomatic patients with pre-excitation to risk-stratify for
arrhythmic events |
| 2a | Catheter ablation of the accessory pathway is reasonable in asymptomatic patients with pre-
excitation if an EP study identifies a high risk of arrhythmic events, including rapidly conducting pre-excited AF |
| 2a | Catheter ablation of the accessory pathway is reasonable in asymptomatic patients if the presence of
pre-excitation precludes specific employment(such as with pilots) |
| 2a | Observation,without further evaluation or treatment,is reasonable in asymptomatic patients
with pre-excitation |