Wolff-Parkinson-White syndrome consensus statement: Difference between revisions

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{{Wolff-Parkinson-White syndrome}}
{{Wolff-Parkinson-White syndrome}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}; [[User:Kashish Goel|Kashish Goel, M.D.]]
{{CMG}}; '''Associate Editor-In-Chief:''' {{Sara.Zand}} {{CZ}}; [[User:Kashish Goel|Kashish Goel, M.D.]]




==[[Recommendations for Management of Asymptomatic Patients With Asymptomatic pre-excitation]]==  
== Recommendations for Management of Asymptomatic Patients With Asymptomatic pre-excitation ==  
* '''2015 ACC-AHA Guideline'''<ref name="PageJoglar2016">{{cite journal|last1=Page|first1=Richard L.|last2=Joglar|first2=José A.|last3=Caldwell|first3=Mary A.|last4=Calkins|first4=Hugh|last5=Conti|first5=Jamie B.|last6=Deal|first6=Barbara J.|last7=Estes III|first7=N.A. Mark|last8=Field|first8=Michael E.|last9=Goldberger|first9=Zachary D.|last10=Hammill|first10=Stephen C.|last11=Indik|first11=Julia H.|last12=Lindsay|first12=Bruce D.|last13=Olshansky|first13=Brian|last14=Russo|first14=Andrea M.|last15=Shen|first15=Win-Kuang|last16=Tracy|first16=Cynthia M.|last17=Al-Khatib|first17=Sana M.|title=2015 ACC/AHA/HRS guideline for the management of adult patients with supraventricular tachycardia|journal=Heart Rhythm|volume=13|issue=4|year=2016|pages=e136–e221|issn=15475271|doi=10.1016/j.hrthm.2015.09.019}}</ref>
 
{| class="wikitable"
{| class="wikitable"
|-
|-
! The class of Recommendation(COR) !! Recommendations
! Class of Recommendation(COR) !! Recommendations
|-
|-
|    1    || In asymptomatic patients with pre-excitation, the findings of abrupt loss of conduction over
|    1    || In asymptomatic patients with pre-excitation, the findings of abrupt loss of conduction over
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== Recommendations for Management of Symptomatic Patients With Manifest Accessory Pathways ==
* '''2015 ACC-AHA Guideline'''<ref name="PageJoglar2016">{{cite journal|last1=Page|first1=Richard L.|last2=Joglar|first2=José A.|last3=Caldwell|first3=Mary A.|last4=Calkins|first4=Hugh|last5=Conti|first5=Jamie B.|last6=Deal|first6=Barbara J.|last7=Estes III|first7=N.A. Mark|last8=Field|first8=Michael E.|last9=Goldberger|first9=Zachary D.|last10=Hammill|first10=Stephen C.|last11=Indik|first11=Julia H.|last12=Lindsay|first12=Bruce D.|last13=Olshansky|first13=Brian|last14=Russo|first14=Andrea M.|last15=Shen|first15=Win-Kuang|last16=Tracy|first16=Cynthia M.|last17=Al-Khatib|first17=Sana M.|title=2015 ACC/AHA/HRS guideline for the management of adult patients with supraventricular tachycardia|journal=Heart Rhythm|volume=13|issue=4|year=2016|pages=e136–e221|issn=15475271|doi=10.1016/j.hrthm.2015.09.019}}</ref>


 
{| class="wikitable"
|-
! Class of Recommendation !! Recommendations
|-
| 1 || In symptomatic patients with [[pre-excitation]], the findings of abrupt loss of conduction over the
pathway during [[exercise testing]] in [[sinus rhythm]] or intermittent loss
of [[pre-excitation]] during [[ECG]] or ambulatory monitoring are useful for
identifying patients at lower risk of developing rapid conduction over the[[ pathway]]
|-
| 1 || An EP study is useful in symptomatic patients with [[pre-excitation]] to risk-stratify for
life-threatening [[arrhythmic]] events
|}


==References==
==References==

Latest revision as of 06:24, 15 September 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Sara Zand, M.D.[2] Cafer Zorkun, M.D., Ph.D. [3]; Kashish Goel, M.D.


Recommendations for Management of Asymptomatic Patients With Asymptomatic pre-excitation

  • 2015 ACC-AHA Guideline[1]
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


Recommendations for Management of Symptomatic Patients With Manifest Accessory Pathways

  • 2015 ACC-AHA Guideline[1]
Class of Recommendation Recommendations
1 In symptomatic patients with pre-excitation, the findings of abrupt loss of conduction over the

pathway during exercise testing in sinus rhythm or intermittent loss of pre-excitation during ECG or ambulatory monitoring are useful for identifying patients at lower risk of developing rapid conduction over thepathway

1 An EP study is useful in symptomatic patients with pre-excitation to risk-stratify for

life-threatening arrhythmic events

References

  1. 1.0 1.1 Page, Richard L.; Joglar, José A.; Caldwell, Mary A.; Calkins, Hugh; Conti, Jamie B.; Deal, Barbara J.; Estes III, N.A. Mark; Field, Michael E.; Goldberger, Zachary D.; Hammill, Stephen C.; Indik, Julia H.; Lindsay, Bruce D.; Olshansky, Brian; Russo, Andrea M.; Shen, Win-Kuang; Tracy, Cynthia M.; Al-Khatib, Sana M. (2016). "2015 ACC/AHA/HRS guideline for the management of adult patients with supraventricular tachycardia". Heart Rhythm. 13 (4): e136–e221. doi:10.1016/j.hrthm.2015.09.019. ISSN 1547-5271.

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