无症状预激综合征患者是否应接受导管消融治疗？
Should patients with asymptomatic wolff-parkinson-white pattern undergo a catheter ablation?
作者信息
LeLorier P, Klein G J, Krahn A, Yee R, Skanes A
机构信息
Arrhythmia Service, London Health Sciences Center, University Campus, 339 Windermere Road, London, Ontario N6A 5A5, Canada.
出版信息
Curr Cardiol Rep. 2001 Jul;3(4):301-4. doi: 10.1007/s11886-001-0084-z.
Many individuals with the Wolff-Parkinson-White electrocardiographic pattern are asymptomatic. Optimal management of these individuals is still a matter of debate. On the one hand, sudden cardiac death from ventricular fibrillation is a rare yet possible outcome in these individuals. On the other hand, there is a low risk of serious complication from electrophysiologic study and ablation. Given that the risk of these competing strategies is comparable, the decision needs to be individualized with considerable patient input.
许多患有预激综合征心电图表现的个体并无症状。对这些个体的最佳管理仍存在争议。一方面，这些个体因心室颤动导致的心源性猝死虽罕见但有可能发生。另一方面，电生理检查和消融的严重并发症风险较低。鉴于这些相互竞争的策略风险相当，决策需要有患者的大量参与以实现个体化。
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