Sudden cardiac death stratification in asymptomatic ventricular preexcitation

The second survey deals with risk stratification in subjects, either adults or children, with ventricular preexcitation and no symptoms in their history. Current European electrophysiological practice is still variable among different centres. Although invasive stratification is still part of the practical management of asymptomatic subjects, a not negligible proportion of physicians do not completely rely on cut off values provided in the literature, proceeding to ablation irrespective of the stratification process. These concerns are mainly due to the perception of lack of strong evidence that, according to the majority of centres, is still needed.