Key result
Treadmill testing and ambulatory monitoring each identify sustained atrial arrhythmias in ~18% of preexcitation patients.
Why the study?
Documentation of arrhythmia in symptomatic patients with preexcitation syndromes may be difficult despite extended ambulatory monitoring.
Observational (n=22)
Answers are grounded in this paper and cite their sources.
Neither method alone captures all sustained arrhythmias; leaves open whether combined testing refines risk stratification in preexcitation.
Documentation of arrhythmia in symptomatic patients with preexcitation syndromes may be difficult despite extended ambulatory monitoring (MON). We, therefore, examined 12 patients with Wolff-Parkinson-White (WPW) and ten with Lown-Ganong-Levine ECG anomalies to compare the yield of tachyarrhythmia on maximal treadmill testing (MTT) and on MON. Nineteen patients were free of associated heart disease. Average age for the group was 45 years (11 men and 11 women). Sustained atrial arrhythmias developed in four of 22 patients during MTT. All four were free of arrhythmia on subsequent MON. An additional four patients exhibited these arrhythmias on MON. We conclude that the use of both monitoring and exercise testing will enhance detection of arrhythmia in patients with symptomatic preexcitation.
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Thomas L. Force (1981) conducted an observational in Preexcitation Syndrome (n=22). Maximal treadmill testing vs. Ambulatory monitoring was evaluated on Detection of sustained atrial arrhythmias. Maximal treadmill testing and ambulatory monitoring each detected sustained atrial arrhythmias in 4 of 22 patients with symptomatic preexcitation syndromes, with no overlap between the two methods.
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