[Not Available].

Ugeskr Laeger

BørneUngeAfdelingen, Børnekardiologisk Sektion, Københavns Universitetshospital - Rigshospitalet.

Published: January 2024

AI Article Synopsis

  • Pediatric patients with ventricular pre-excitation or asymptomatic Wolff-Parkinson-White (WPW) syndrome face an increased risk of developing serious heart issues like atrial fibrillation and sudden cardiac death (SCD).
  • Many of these patients may only show symptoms after experiencing a life-threatening event, highlighting the need for careful risk assessment.
  • The review suggests that invasive testing and catheter ablation are effective strategies for managing these patients, with catheter ablation showing high success rates and low complication risks.

Article Abstract

Paediatric patients with ventricular pre-excitation/asymptomatic WPW syndrome have a higher risk of atrial fibrillation degenerating into ventricular fibrillation and sudden cardiac death (SCD). In more than half of these patients this can be the first symptom presenting. Hence, it is important to conduct a risk stratification for SCD in asymptomatic patients with pre-excitation/delta wave in the ECGs. In this review, invasive risk stratification by electrophysiologic testing and ablation is recommended when possible. Catheter ablation is reported to have a high rate of success and low risk of complications.

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Source
http://dx.doi.org/10.61409/V08230550DOI Listing

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