Wolff-Parkinson-White syndrome: Difference between revisions
No edit summary |
|||
| Line 40: | Line 40: | ||
[[Wolff-Parkinson-White syndrome risk stratification|Risk Stratification]] | [[Wolff-Parkinson-White syndrome medical therapy|Medical Therapy]] | [[Wolff-Parkinson-White syndrome drug prophylaxis|Drug Prophylaxis]] | [[Wolff-Parkinson-White syndrome treatment algorithm|Management Algorithm]] | [[Wolff-Parkinson-White syndrome risk stratification|Risk Stratification]] | [[Wolff-Parkinson-White syndrome medical therapy|Medical Therapy]] | [[Wolff-Parkinson-White syndrome drug prophylaxis|Drug Prophylaxis]] | [[Wolff-Parkinson-White syndrome treatment algorithm|Management Algorithm]] | ||
==[[ | ==[[Recommendations for Management of Asymptomatic Patients With Asymptomatic pre-excitation]]== | ||
[[ | {| class="wikitable" | ||
|- | |||
! 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 | |||
|} | |||
==Related Chapters== | ==Related Chapters== | ||
Revision as of 05:34, 15 September 2020
 |
Resident Survival Guide |
| Wolff-Parkinson-White syndrome | |
 |
|---|
|
Wolff-Parkinson-White syndrome Microchapters |
|
Differentiating Wolff-Parkinson-White syndrome from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Wolff-Parkinson-White syndrome On the Web |
|
Risk calculators and risk factors for Wolff-Parkinson-White syndrome |
For patient information, click here.
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 |