Key result
Atrial fibrillation was identified as the initial arrhythmia in 9% (10 of 108) of patients with Wolff-Parkinson-White syndrome, with excellent long-term survival on medical treatment.
Why the study?
Does medical treatment provide long term survival and control of arrhythmia in patients with Wolff-Parkinson-White syndrome presenting with atrial fibrillation?
Observational (n=108)
Does medical treatment provide long term survival and control of arrhythmia in patients with Wolff-Parkinson-White syndrome presenting with atrial fibrillation?
Answers are grounded in this paper and cite their sources.
Medical treatment provides excellent long-term survival and arrhythmia control in WPW patients presenting with atrial fibrillation, suggesting a conservative approach is suitable for typical symptom-free individuals.
Atrial fibrillation was identified as the initial arrhythmia complicating the Wolff-Parkinson-White syndrome in ten (9%) of 108 patients. Despite initially rapid ventricular responses in seven, long term survival and control of arrhythmia were excellent on medical treatment. Whereas symptom free patients with the pre-excitation syndrome who have additional underlying disease predisposing to atrial fibrillation may need detailed electrophysiological study, a more conservative approach is suitable for the typical symptom free individual.
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Robinson et al. (1988) conducted an observational in Wolff-Parkinson-White syndrome (n=108). Atrial fibrillation was evaluated on Atrial fibrillation as the initial arrhythmia. Atrial fibrillation was identified as the initial arrhythmia in 9% (10 of 108) of patients with Wolff-Parkinson-White syndrome, with excellent long-term survival on medical treatment.
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