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Multi-catheter cryotherapy for the treatment of resistant accessory pathways.
Indian Pacing Electrophysiol J
November 2023
Department of Cardiology, St. George's University Hospitals NHS Foundation Trust, UK. Electronic address:
Objective: To investigate the utility of simultaneous multi-catheter cryotherapy for the treatment of APs that were previously resistant to standard radiofrequency (RF) catheter ablation.
Background: Catheter ablation is established in the treatment of accessory pathways (AP), with high rates of permanent procedural success with a single attempt. However, there are still instances of acute procedural failure and AP recurrences with standard RF and cryotherapy methods.
Asymptomatic Wolff-Parkinson-White Syndrome: An Ounce of Prevention Is Worth the Risk of Cure.
Curr Cardiol Rep
June 2023
Primary Children's Hospital, The University of Utah, 84112, Salt Lake City, UT, USA.
Purpose Of Review: With increased electrocardiogram screening, asymptomatic preexcitation has become more prevalent. Historically, the asymptomatic-symptomatic dichotomy has directed management. This approach warrants scrutiny, as asymptomatic Wolff-Parkinson-White (WPW) syndrome is not without risk.
View Article and Find Full Text PDFLeft ventricular dysfunction in a child with asymptomatic pre-excitation: Cure with catheter ablation.
J Electrocardiol
January 2023
Department of Pediatric Cardiology, Koç University Faculty of Medicine, İstanbul, Turkey.
Wolff-Parkinson-White syndrome, is known to cause left ventricular dysfunction or dilated cardiomyopathy secondary to sustained tachycardia in infants and children. However, left ventricular dysfunction secondary to pre-excitation related abnormal ventricular activation has been reported in a limited number of cases. This condition should be recognized early, as catheter ablation of the accessory pathway can permit rapid ventricular function improvement.
View Article and Find Full Text PDFDiagnosis and cure of supraventricular tachycardia.
Heart Rhythm
April 2021
Department of Internal Medicine, Michigan Medicine, University of Michigan, Ann Arbor, Michigan. Electronic address:
Review paper on WPW and athletes: Let sleeping dogs lie?
Clin Cardiol
August 2020
Cardiology Clinical Academic Group, St. George's University Hospitals NHS Foundation Trust, St. George's University of London, London, UK.
Accessory pathways are present in 1 in 300 young individuals. They are often asymptomatic and potentially lethal arrhythmias may be the first presentation. During long-term follow-up, up to 20% of asymptomatic individuals with pre-excitation go on to develop an arrhythmia and the absence of traditional clinical and electrophysiological high-risk markers does not guarantee the "safe" nature of an accessory pathway.
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