Wolff-Parkinson-White syndrome consensus statement
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Differentiating Wolff-Parkinson-White syndrome from other Diseases |
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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 |
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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 |
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 |