Sindroma Pre Eksitasi Asimtomatik: Ablasi Versus Konservatif

Abstract

Wolff-Parkinson-White (WPW) is a sporadic and familial abnormality. Epidemiological data indicate that 0.1% to 0.3% of the general population have ECG findings suggesting that during sinus rhythm. The risk of sudden cardiac death is around 0.25%. Patients with WPW syndrome is often symptomatic because of cardiac arrhythmias. Sometimes the arrhythmia can be life-threatening, and leads to sudden cardiac death. However, there is still controversy in management of individuals with asymptomatic WPW pattern. Despite radiofrequency catheter ablation remains the first line therapy of the WPW syndrome, the risk of complications of this procedure is almost the same as the risk of sudden cardiac death in asymptomatic WPW. Therefore, an algorithm to determine the appropriate management of asymptomatic WPW patients is needed.

Keywords

• preexcitation syndrome
• ablation
• conservative