title: Asymptomatic Wolff-Parkinson-White Syndrome: Who Should Be Treated?
abstract: This article discusses the merits of electrophysiology study (EPS) and/or ablation for asymptomatic preexcitation Wolff-Parkinson-White (WPW) ECG pattern. Sudden deaths in asymptomatic patients are too few to merit broad screening and aggressive intervention. It also discusses the risks of ablation and the low predictive accuracy of EPS. When WPW is an incidental finding, the decision to proceed with investigation and ablation can be made considering patients' situations and preferences. An invasive strategy is targeted at patients concerned about the low risk of life-threatening arrhythmia as a first presentation after a discussion of the risks and benefits.
authors.affiliation: Division of Cardiology, Western University, 339 Windermere Road, C6-110, London, Ontario N6A 5A5, Canada.
authors.forename: Manoj N
authors.initials: MN
authors.lastname: Obeyesekere
authors.forename: Peter
authors.initials: P
authors.lastname: Leong-Sit
authors.forename: Andrew D
authors.initials: AD
authors.lastname: Krahn
authors.forename: Lorne J
authors.initials: LJ
authors.lastname: Gula
authors.forename: Raymond
authors.initials: R
authors.lastname: Yee
authors.forename: Allan C
authors.initials: AC
authors.lastname: Skanes
authors.forename: George J
authors.initials: GJ
authors.lastname: Klein