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1
Asymptomatic Wolff-Parkinson-White syndrome: incidental ECG diagnosis and a review of literature regarding current treatment.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
BMJ Case Rep. 2011 Jun 29;2011:bcr0520114192. doi: 10.1136/bcr.05.2011.4192.
2
Prophylactic radiofrequency ablation in asymptomatic patients with Wolff-Parkinson-White is not yet a good strategy: a decision analysis.无症状性预激综合征患者行预防性射频消融术尚不是一种好策略:决策分析。
Circ Arrhythm Electrophysiol. 2013 Feb;6(1):185-90. doi: 10.1161/CIRCEP.112.970459. Epub 2013 Jan 29.
3
When should we recommend catheter ablation for patients with the Wolff-Parkinson-White syndrome?对于预激综合征患者,我们应该在何时推荐导管消融治疗?
Curr Opin Cardiol. 2008 Jan;23(1):32-7. doi: 10.1097/HCO.0b013e3282f26d1b.
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Electrophysiology testing and catheter ablation are helpful when evaluating asymptomatic patients with Wolff-Parkinson-White pattern: the pro perspective.在评估无症状的预激综合征患者时,电生理检查和导管消融术很有帮助:支持的观点。
Card Electrophysiol Clin. 2015 Sep;7(3):371-6. doi: 10.1016/j.ccep.2015.05.001. Epub 2015 Jul 10.
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Asymptomatic Wolff-Parkinson-White Pattern ECG in USAF Aviators.美国空军飞行员无症状预激综合征心电图表现
Aerosp Med Hum Perform. 2017 Jan 1;88(1):56-60. doi: 10.3357/AMHP.4569.2017.
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["Asymptomatic WPW" : Is treatment necessary?].["无症状预激综合征":是否需要治疗?]
Herzschrittmacherther Elektrophysiol. 2023 Jun;34(2):114-121. doi: 10.1007/s00399-023-00930-x. Epub 2023 Mar 20.
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A case of the Wolff-Parkinson-White ECG abnormality in a trainee military pilot.一名实习军事飞行员出现预激综合征心电图异常的病例。
Aviat Space Environ Med. 1998 Jul;69(7):687-9.
8
When can ablation be considered a reasonable option in young asymptomatic patients with a Wolff-Parkinson-White ECG?对于心电图表现为预激综合征的年轻无症状患者,何时可认为消融是一种合理的选择?
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Electrophysiology testing and catheter ablation are helpful when evaluating asymptomatic patients with Wolff-Parkinson-White pattern: the con perspective.在评估无症状的预激综合征患者时,电生理检查和导管消融是有帮助的:一种观点。
Card Electrophysiol Clin. 2015 Sep;7(3):377-83. doi: 10.1016/j.ccep.2015.05.002. Epub 2015 Jul 7.
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Aborted sudden cardiac death as first presentation of Wolff-Parkinson-White syndrome.以心脏骤停为首发表现的预激综合征。
Rev Port Cardiol. 2013 Apr;32(4):325-9. doi: 10.1016/j.repc.2012.08.015. Epub 2013 Mar 19.

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Electrocardiographic Clues for Early Diagnosis of Ventricular Pre-Excitation and Non-Invasive Risk Stratification in Athletes: A Practical Guide for Sports Cardiologists.运动员心室预激早期诊断及无创危险分层的心电图线索:运动心脏病学家实用指南
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Atrial fibrillation and pneumothorax after transthoracic needle lung biopsy.经胸针吸肺活检术后房颤和气胸
BMJ Case Rep. 2012 Jan 18;2012:bcr1020114897. doi: 10.1136/bcr.10.2011.4897.

本文引用的文献

1
ECG Diagnosis: Wolff-Parkinson-White Syndrome.心电图诊断:预激综合征。
Perm J. 2010 Summer;14(2):53. doi: 10.7812/TPP/09-141.
2
Sudden cardiac death stratification in asymptomatic ventricular preexcitation.无症状性心室预激的心脏性猝死分层。
Europace. 2009 Nov;11(11):1536-7. doi: 10.1093/europace/eup340.
3
WPW pattern in the asymptomatic individual: has anything changed?无症状个体中的预激综合征模式:有什么变化吗?
Circ Arrhythm Electrophysiol. 2009 Apr;2(2):97-9. doi: 10.1161/CIRCEP.109.859827.
4
Management of asymptomatic Wolff-Parkinson-White syndrome.无症状预激综合征的管理
Heart. 2009 Oct;95(19):1628-34. doi: 10.1136/hrt.2008.151175.
5
The natural history of asymptomatic ventricular pre-excitation a long-term prospective follow-up study of 184 asymptomatic children.无症状性心室预激的自然病史:184例无症状儿童的长期前瞻性随访研究
J Am Coll Cardiol. 2009 Jan 20;53(3):275-80. doi: 10.1016/j.jacc.2008.09.037.
6
Bundle-branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia. 1930.健康年轻人中伴有短P-R间期的束支传导阻滞易发生阵发性心动过速。1930年。
Ann Noninvasive Electrocardiol. 2006 Oct;11(4):340-53. doi: 10.1111/j.1542-474X.2006.00127.x.
7
Electrocardiographic findings in 67,375 asymptomatic subjects. I. Incidence of abnormalities.67375名无症状受试者的心电图检查结果。I. 异常发生率。
Am J Cardiol. 1960 Jul;6:76-83. doi: 10.1016/0002-9149(60)90038-2.
8
Usefulness of invasive electrophysiologic testing to stratify the risk of arrhythmic events in asymptomatic patients with Wolff-Parkinson-White pattern: results from a large prospective long-term follow-up study.有预激综合征的无症状患者中,有创电生理检查对心律失常事件风险分层的效用:一项大型前瞻性长期随访研究的结果
J Am Coll Cardiol. 2003 Jan 15;41(2):239-44. doi: 10.1016/s0735-1097(02)02706-7.
9
Pediatric radiofrequency catheter ablation registry success, fluoroscopy time, and complication rate for supraventricular tachycardia: comparison of early and recent eras.小儿室上性心动过速的射频导管消融登记成功率、透视时间及并发症发生率:早期与近期的比较
J Cardiovasc Electrophysiol. 2002 Apr;13(4):336-41. doi: 10.1046/j.1540-8167.2002.00336.x.
10
A population study of the natural history of Wolff-Parkinson-White syndrome in Olmsted County, Minnesota, 1953-1989.明尼苏达州奥尔姆斯特德县1953 - 1989年预激综合征自然病史的人群研究。
Circulation. 1993 Mar;87(3):866-73. doi: 10.1161/01.cir.87.3.866.

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.

DOI:10.1136/bcr.05.2011.4192
PMID:22693197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3128358/
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。