[Sudden death in intermittent Wolff Parkinson White syndrome].
Sudden death is a rare condition in asymptomatic patients with asymptomatic intermittent Wolff Parkinson syndrome (WPW); for this reason it is believed that these patients should not undergo to radiofrequency ablation. We report an asymptomatic 44 year old man who developed ventricular fibrillation with a pre-excited RR interval less than 200 msec during atrial fibrillation, as a first manifestation of WPW syndrome. The Holter monitoring showed intermittent pre-excitation at low heart rate (70 bpm). During the electrophysiological study a successfully radiofrequency catheter ablation of a right posteroseptal accessory pathway was performed. We concluded that intermittent pre-excitation may not be used to identify patients who are at risk of sudden death. Radiofrequency catheter ablation should be recommended in those patients with a very high success rate, and a low incidence of serious complications.
Medeiros
A
A
Departamento de Electrofisiología y Electrocardiografía Instituto Nacional de Cardiología Ignacio Chávez, INCICH, Juan Badiano No. 1, 14080 México, D.F.
Iturralde
P
P
Guevara
M
M
Mendoza
C
C
Colín
L
L
D000328:Adult; D003645:Death, Sudden / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications* / Q000503:physiopathology