Wolff-Parkinson-White syndrome consensus statement: Difference between revisions
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==[[Recommendations for Management of Asymptomatic Patients With Asymptomatic pre-excitation]]== | |||
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! The class of Recommendation(COR) !! Recommendations | |||
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| 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 | |||
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| 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 | |||
|} | |||
Revision as of 05:40, 15 September 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Kashish Goel, M.D.
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 |