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Sanam Safi1, Christian Jøns2, Peter Karl Jacobsen2

  • 1BørneUngeAfdelingen, Børnekardiologisk Sektion, Københavns Universitetshospital - Rigshospitalet.

Ugeskrift for Laeger
|February 2, 2024
PubMed
Summary

Children with Wolff-Parkinson-White (WPW) syndrome face risks of sudden cardiac death. Risk stratification and catheter ablation are recommended for these asymptomatic paediatric patients to prevent serious cardiac events.

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Area of Science:

  • Cardiology
  • Electrophysiology
  • Paediatric Medicine

Background:

  • Ventricular pre-excitation, often seen in Wolff-Parkinson-White (WPW) syndrome, poses a significant risk for sudden cardiac death (SCD) in paediatric patients.
  • Atrial fibrillation degeneration into ventricular fibrillation is a primary concern, with SCD sometimes being the initial presentation in asymptomatic cases.

Conclusions:

  • Risk stratification is crucial for asymptomatic paediatric patients with pre-excitation/WPW syndrome.
  • Invasive risk stratification, preferably via electrophysiologic testing and catheter ablation, is recommended when feasible.
  • Catheter ablation offers a safe and highly effective treatment option for managing SCD risk in this population.

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