Key result
A trans-esophageal electrophysiology study successfully identified a previously asymptomatic patient with Wolff-Parkinson-White syndrome as high risk for sudden cardiac death by inducing atrial fibrillation with a shortest pre-excited R-R interval of 172 msec.
Why the study?
Does trans-esophageal electrophysiology study identify high risk for sudden cardiac death in asymptomatic Wolff-Parkinson-White syndrome?
Case Report (n=1)
No
Does trans-esophageal electrophysiology study identify high risk for sudden cardiac death in asymptomatic Wolff-Parkinson-White syndrome?
Trans-esophageal electrophysiology study is a useful, minimally invasive tool for risk stratifying pediatric patients with asymptomatic Wolff-Parkinson-White syndrome.
Answers are grounded in this paper and cite their sources.
Trans-esophageal EPS may aid risk stratification in asymptomatic pediatric WPW; leaves open need for prospective validation before clinical adoption.
Patients with a Wolff-Parkinson-White (WPW) pattern on their ECG can experience symptoms such as syncope, palpitations, supraventricular tachycardia, and atrial fibrillation, or they can be asymptomatic (aWPW). All patients with WPW, regardless of the presence or absence of symptoms, are at risk of sudden death. Therefore, it is recommended that younger patients with WPW undergo studies to determine their risk. We report a previously asymptomatic WPW patient 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.
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Gupta et al. (2014) conducted a case report in Asymptomatic Wolff-Parkinson-White Syndrome (n=1). Trans-esophageal electrophysiology study (TEEPS) was evaluated on Shortest pre-excited R-R interval during induced atrial fibrillation. A trans-esophageal electrophysiology study successfully identified a previously asymptomatic patient with Wolff-Parkinson-White syndrome as high risk for sudden cardiac death by inducing atrial fibrillation with a shortest pre-excited R-R interval of 172 msec.
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