无症状性预激综合征：心电图偶然诊断及当前治疗的文献综述
Asymptomatic Wolff-Parkinson-White syndrome: incidental ECG diagnosis and a review of literature regarding current treatment.
作者信息
Liu Alexander, Pusalkar Pawan
机构信息
Acute Admissions Unit, Watford General Hospital, Watford, Hertfordshire, UK.
出版信息
BMJ Case Rep. 2011 Jun 29;2011:bcr0520114192. doi: 10.1136/bcr.05.2011.4192.
Abstract
A 19-year-old male presented with periorbital cellulitis responsive to intravenous antibiotics. A routine ECG on admission showed slurred upstroke of the QRS complexes consistent with Wolff-Parkinson-White syndrome (WPW). He has never experienced any cardiac-related symptoms. Once the periorbital cellulitis resolved, he was referred to the specialist cardiology ablation clinic. He was counselled on the arrythmogenic risks of untreated WPW and the potential complications of radiofrequency catheter ablation (RFCA). He decided to go ahead with electrophysiological studies and RFCA, which took place successfully. This case highlights the importance of routine ECG in the diagnosis of asymptomatic WPW. The use of prophylactic ablation of asymptomatic WPW is controversial and should be considered on a case-specific basis.
摘要
一名19岁男性因眶周蜂窝织炎接受静脉抗生素治疗后病情好转。入院时的常规心电图显示QRS波群上升支模糊，符合预激综合征（WPW）。他从未经历过任何与心脏相关的症状。眶周蜂窝织炎消退后，他被转诊至心脏专科消融门诊。向他咨询了未经治疗的WPW的心律失常风险以及射频导管消融（RFCA）的潜在并发症。他决定进行电生理检查和RFCA，手术成功进行。该病例凸显了常规心电图在无症状WPW诊断中的重要性。对无症状WPW进行预防性消融存在争议，应根据具体病例进行考虑。
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