Should patients with asymptomatic wolff-parkinson-white pattern undergo a catheter ablation?
Many individuals with the Wolff-Parkinson-White electrocardiographic pattern are asymptomatic. Optimal management of these individuals is still a matter of debate. On the one hand, sudden cardiac death from ventricular fibrillation is a rare yet possible outcome in these individuals. On the other hand, there is a low risk of serious complication from electrophysiologic study and ablation. Given that the risk of these competing strategies is comparable, the decision needs to be individualized with considerable patient input.
LeLorier
P
P
Arrhythmia Service, London Health Sciences Center, University Campus, 339 Windermere Road, London, Ontario N6A 5A5, Canada. plelorie@julian.uwo.ca
Klein
G J
GJ
Krahn
A
A
Yee
R
R
Skanes
A
A
D017115:Catheter Ablation; D016757:Death, Sudden, Cardiac / Q000209:etiology; D006801:Humans; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications / Q000601:surgery*