PACES/HRS expert consensus statement on the management of the asymptomatic young patient with a Wolff-Parkinson-White (WPW, ventricular preexcitation) electrocardiographic pattern: developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm So

@article{Cohen2012PACESHRSEC,
  title={PACES/HRS expert consensus statement on the management of the asymptomatic young patient with a Wolff-Parkinson-White (WPW, ventricular preexcitation) electrocardiographic pattern: developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm So},
  author={Mitchell I. Cohen and John K. Triedman and Bryan C Cannon and Andrew M. Davis and Fabrizio Drago and Jan Janou{\vs}ek and George J Klein and Ian H. Law and Fred Morady and Thomas Paul and James C. Perry and Shubhayan Sanatani and Ronn E Tanel},
  journal={Heart rhythm},
  year={2012},
  volume={9 6},
  pages={
          1006-24
        }
}

Tables from this paper

Consensus Statement Supports Screening Asymptomatic Young Patients with WPW Patterns

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A committee convened by the Pediatric and Congenital Electrophysiology Society and the Heart Rhythm Society has published a consensus document endorsed by multiple other governing bodies about the risk and prevention of SCD in patients with the Wolff-Parkinson-White electrocardiographic pattern.

A Wolff-Parkinson-White (WPW) Electrocardiographic Pattern in Asymptomatic Patient – State-of-the-Art-Review

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The cardiac evaluation may be considered in asymptomatic patients with WPW to determine the individual risk for future symptomatic arrhythmia and a shared-decision making must be performed before offering catheter ablation whose procedural success rate is high.

The Use of Trans-Esophageal Electrophysiology Study to Identify a High Risk Asymptomatic Wolff Parkinson White Syndrome Patient

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A previously asymptomatic Wolff-Parkinson-White patient is identified as high risk for sudden death due to rapid conduction down her accessory pathway during atrial fibrillation induced during a trans-esophageal electrophysiology study.

2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.

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Jonathan L. Halperin, MD, FACC, FAHA, Chair Glenn N. Levine, MD; Nancy M. Anderson, PhD, RN,FAHA, Immediate Past Chair; and Kim K. Birtcher, PharmD, AACC, Chair-Elect.

Evaluation and Management of the Asymptomatic Child with Wolff–Parkinson–White

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Radiofrequency and/or cryoablation are used to eliminate the accessory pathway and eliminate the risk of arrhythmia and SCD in patients with WPW.

Electrophysiologic Profile and Results of Invasive Risk Stratification in Asymptomatic Children and Adolescents With the Wolff–Parkinson–White Electrocardiographic Pattern

TLDR
Adverse AP properties at baseline were exhibited by 37.6% of the evaluated patients with an asymptomatic Wolff–Parkinson–White preexcitation persisting at peak exercise subjected to invasive risk stratification.

The Asymptomatic Wolff-Parkinson-White Patient: Time to Be More Proactive?

TLDR
The natural history of WPW syndrome in the era of catheter ablation, insights from a registry study of 2169 patients, demonstrate the outcomes of electrophysiological assessment and ablation in all individuals with the WPW pattern in the general population.

Ventricular pre-excitation: symptomatic and asymptomatic children have the same potential risk of sudden cardiac death.

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  • Medicine
    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
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TLDR
Children and adolescents with WPW syndrome have a higher rate of AVRT inducibility than asymptomatic patients, however, no differences between the two groups were found in atrial vulnerability and parameters related to the risk of SCD.
...

References

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The Different Electrophysiological Characteristics in Children with Wolff‐Parkinson‐White Syndrome Between Those with and Without Atrial Fibrillation

TLDR
It was demonstrated that the pediatric WPW syndrome patients with AF had different electrophysiological characteristics from those without AF.

Longitudinal electrophysiologic assessment of asymptomatic patients with the Wolff-Parkinson-White electrocardiographic pattern.

TLDR
It is concluded that a considerable number of asymptomatic patients with the Wolff-Parkinson-White pattern lose their capacity for anterograde conduction over the accessory pathway, which probably contributes to the low mortality among asymPTomatic patients.

Ventricular fibrillation in the Wolff-Parkinson-White syndrome.

TLDR
Clinical and electrophysiological data of 23 patients with spontaneous VF were compared with data from 100 consecutive patients with WPW without VF but with symptomatic supraventricular tachycardia, finding no significant differences.

[Different degrees of risk of high-frequency atrial fibrillation in symptomatic and asymptomatic WPW syndrome. Electrophysiologic evaluation].

TLDR
Evaluating the risk to develop high frequency a.f. in WPW subjects found a high atrial vulnerability, which makes possible that reciprocating tachycardia degenerates into atrial fibrillation and a short anterograde refractory period of the Kent bundle.

Electrophysiological evaluation of asymptomatic ventricular pre-excitation in children and adolescents.

Asymptomatic ventricular pre-excitation in children and adolescents: a 15 year follow up study

TLDR
This study aimed to examine retrospectively the follow up of a cohort of children with asymptomatic VPE, referred during a 15 year period to the unit, found incidentally to have a VPE on routine ECG.

Electrophysiological characteristics of asymptomatic Wolff-Parkinson-White syndrome.

TLDR
The asymptomatic Wolff-Parkinson-White syndrome should be systematically evaluated so as to reassure patients with the benign form that they can lead a normal life and take part in sport and secondly to define the real prognosis of the patients whose characteristics suggests a risk of sudden death.
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