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The Asymptomatic Patient with the Wolff-Parkinson-White Electrocardiogram
- Source :
- Pacing and Clinical Electrophysiology. 20:2082-2086
- Publication Year :
- 1997
- Publisher :
- Wiley, 1997.
-
Abstract
- Sudden death can be the first manifestation of the Wolff-Parkinson-White (WPW) syndrome. The underlying mechanism being atrial fibrillation with a very high ventricular rate, because of a short anterograde refractory period of the accessory atrioventricular pathway (AP), deteriorating into ventricular fibrillation. Information on the anterograde refractory period of the AP is therefore important to recognize asymptomatic people with the WPW ECG at risk for dying suddenly. Several noninvasive tests are available to identify the low risk patient. Decision making when to interrupt the AP in asymptomatic WPW patients not at low risk requires an invasive study to document the electrophysiological properties of the AP and to determine its exact location.
- Subjects :
- Adult
Ventricular rate
medicine.medical_specialty
Adolescent
Refractory Period, Electrophysiological
Refractory period
Heart Ventricles
medicine.medical_treatment
Decision Making
Catheter ablation
Asymptomatic
Sudden death
Electrocardiography
Risk Factors
Internal medicine
Atrial Fibrillation
medicine
Humans
cardiovascular diseases
Child
medicine.diagnostic_test
business.industry
Atrial fibrillation
General Medicine
Middle Aged
medicine.disease
Death, Sudden, Cardiac
Ventricular Fibrillation
Ventricular fibrillation
Atrioventricular Node
Catheter Ablation
Cardiology
Wolff-Parkinson-White Syndrome
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15408159 and 01478389
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- Pacing and Clinical Electrophysiology
- Accession number :
- edsair.doi.dedup.....54a92c30e1b46d1980a401a5f92ab15f