Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) license, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.
Noninvasive Risk Stratification for Sudden Death in Asymptomatic Patients With Wolff-Parkinson-White Syndrome
John Novella 1, Ralph M. DeBiasi 1, Neil L. Coplan 2, Ranji Suri 2, Seth Keller 2
Affiliations
Article Info
1 Yale University School of Medicine, Division of Cardiology, New Haven, CT
2 Lenox Hill Hospital, New York, NY
Abstract
Sudden cardiac death (SCD) as the first clinical manifestation of Wolff-Parkinson-White (WPW) syndrome is a well-documented, although rare occurrence. The incidence of SCD in patients with WPW ranges from 0% to 0.39% annually. Controversy exists regarding risk stratification for patients with preexcitation on surface electrocardiogram (ECG), particularly in those who are asymptomatic. This article focuses on the role of risk stratification using exercise and pharmacologic testing in patients with WPW pattern on ECG.
Keywords
- Wolff-Parkinson-White syndrome
- Sudden cardiac death
- Risk stratification
- Preexcitation