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Review
. 2023 Jun;34(2):114-121.
doi: 10.1007/s00399-023-00930-x. Epub 2023 Mar 20.

["Asymptomatic WPW" : Is treatment necessary?]

[Article in German]
Gabriele Hessling  1 , Marta Telishevska  2 , Sarah Lengauer  2 , Isabel Deisenhofer  2
Affiliations
Review

["Asymptomatic WPW" : Is treatment necessary?]

[Article in German]
Gabriele Hessling et al. Herzschrittmacherther Elektrophysiol. 2023 Jun.

Abstract
in English, German

The term "asymptomatic WPW" (Wolff-Parkinson-White) is often used as a synonym for ventricular pre-excitation of the WPW type due to an accessory pathway characterized by a short PR interval and a delta wave on the electrocardiogram (ECG) without the clinical occurrence of paroxysmal tachycardia. Asymptomatic WPW is often diagnosed in young and otherwise healthy people. There is a small associated risk of sudden cardiac death due to rapid antegrade conduction over the accessory pathway during atrial fibrillation. This paper highlights aspects of noninvasive and invasive risk stratification, therapy by catheter ablation, and the ongoing risk-benefit discussion in asymptomatic WPW.

Der Begriff „asymptomatisches WPW“ wird als Synonym für eine ventrikuläre Präexzitation vom WPW (Wolff-Parkinson-White) Typ aufgrund einer akzessorischen Leitungsbahn verwendet, die sich im Elektrokardiogramm (EKG) im Sinusrhythmus durch eine kurze PQ-Zeit mit Deltawelle manifestiert, ohne dass es bei den Betroffenen zum Auftreten von paroxysmalen Tachykardien kommt. Häufig wird das asymptomatische WPW als Zufallsbefund bei jüngeren Personen ohne sonstige kardiale Auffälligkeiten diagnostiziert. Es besteht ein geringes Risiko des plötzlichen Herztods durch eine schnelle Überleitung auf die Herzkammern über die akzessorische Bahn bei Vorhofflimmern. In diesem Artikel werden verschiedene Aspekte zur nichtinvasiven und invasiven Risikostratifizierung, zur Therapie durch Katheterablation und zur individuellen Risk-Benefit-Diskussion bei asymptomatischem WPW beleuchtet.

Keywords: Catheter ablation; Risk stratification; Sudden cardiac death; Ventricual prexcitation, asymptomatic; Ventricular pre-excitation; WPW syndrome.

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References

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