Wolff-Parkinson-White syndrome: atrial fibrillation as the presenting arrhythmia.
Atrial fibrillation was identified as the initial arrhythmia complicating the Wolff-Parkinson-White syndrome in ten (9%) of 108 patients. Despite initially rapid ventricular responses in seven, long term survival and control of arrhythmia were excellent on medical treatment. Whereas symptom free patients with the pre-excitation syndrome who have additional underlying disease predisposing to atrial fibrillation may need detailed electrophysiological study, a more conservative approach is suitable for the typical symptom free individual.
Robinson
K
K
Division of Cardiovascular Disease, Royal Postgraduate Medical School, Hammersmith Hospital, London.
Rowland
E
E
Krikler
D M
DM
D000293:Adolescent; D000328:Adult; D001281:Atrial Fibrillation / Q000209:etiology*; D004562:Electrocardiography; D004594:Electrophysiology; D005260:Female; D005500:Follow-Up Studies; D006321:Heart / Q000503:physiopathology; D006329:Heart Conduction System / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications* / Q000503:physiopathology