PMID: 8472715Apr 1, 1993Paper

Electrophysiological characteristics of asymptomatic Wolff-Parkinson-White syndrome

European Heart Journal
B Brembilla-Perrot, R Ghawi

Abstract

Although most asymptomatic patients with the Wolff-Parkinson-White syndrome have a good prognosis, some die suddenly. Electrophysiological testing may identify patients at possible risk of sudden death. The mechanism of sudden death in these patients is believed to result from ventricular fibrillation due to atrial fibrillation with rapid anterograde conduction over the accessory pathway. Consequently, we performed electrophysiological studies in 40 asymptomatic patients with the Wolff-Parkinson-White syndrome. Certain electrophysiological properties clearly identified these patients: (1) in most patients sustained reciprocating tachycardia could not be induced and this explains the absence of symptoms of regular fast palpitations; (2) the incidence of inducible sustained atrial tachyarrhythmias (30%), of short RR intervals between pre-excited beats (20%) and of risk of sudden death (12.5%) was similar to the incidence in symptomatic patients with the Wolff-Parkinson-White syndrome and reciprocating tachycardia. Because of the ease with which transoesophageal study can be performed we think that the asymptomatic Wolff-Parkinson-White syndrome should be systematically evaluated so as to reassure patients with the benign form tha...Continue Reading

Citations

Aug 1, 1994·Brain Research. Brain Research Reviews·T StecklerA Sahgal
Sep 24, 2008·Archives of Cardiovascular Diseases·Béatrice Brembilla-Perrot
Jan 22, 2003·Journal of the American College of Cardiology·Derick M ToddRaymond Yee
Jul 25, 2003·Pacing and Clinical Electrophysiology : PACE·Béatrice Brembilla-PerrotKhalifé Khalifé
Nov 7, 2003·The New England Journal of Medicine·Carlo PapponeSalvatore Rosanio
Aug 19, 2007·Journal of Cardiovascular Medicine·Pietro Delise, Luigi Sciarra
Nov 21, 2012·Archivos de cardiología de México·Enrique Velázquez-RodríguezLuz María Deras-Mejía
Sep 1, 2012·Cardiac Electrophysiology Clinics·Carlo Pappone, Vincenzo Santinelli
May 3, 2016·Indian Pacing and Electrophysiology Journal·Béatrice Brembilla-PerrotNicolas Girerd
May 22, 2010·Pacing and Clinical Electrophysiology : PACE·Béatrice Brembilla-PerrotChristine Suty-Selton
Feb 3, 2005·International Journal of Cardiology·Berardo SarubbiRaffaele Calabrò
Jun 24, 2006·Annales de cardiologie et d'angéiologie·B Brembilla-Perrot
Sep 18, 2004·Revista española de cardiología·Jesús Almendral GarroteAngel Arenal Maiz
Feb 24, 2012·International Journal of Cardiology·Michal OrczykowskiLukasz Szumowski
Jan 15, 2013·Journal of Electrocardiology·Maheshwar PauriahBéatrice Brembilla-Perrot
Jul 23, 2016·Pacing and Clinical Electrophysiology : PACE·Béatrice Brembilla-PerrotJulie Vincent
May 14, 2018·Pacing and Clinical Electrophysiology : PACE·Béatrice Brembilla-PerrotJean-Marc Sellal
Oct 21, 2020·Diagnostics·Tomasz M KsiążczykBożena Werner

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