Wolff-Parkinson-White syndrome consensus statement

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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== [1]

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



References

  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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