Citing the rising utilization of screening electrocardiograms that has resulted in better identification of ventricular pre-excitation, the researchers for this paper sought to identify important pre-procedural counseling and planning factors by comparing pathways of identified pre-excitation to Wolff-Parkinson-White (WPW) Syndrome. The retrospective study included 227 without heart disease with pre-excitation who were referred for electrophysiology between 2008 and 2017. The researchers reported WPW in 178 patients, while 49 patients had incidental identification of pre-excitation. “As patients with incidentally identified pre-excitation present more frequently for consideration of invasive electrophysiology study, these results impact procedural approaches, technical considerations, patient counseling, and outcome expectations,” the researchers concluded.
Don’t see the need for advanced lipids. Would certainly evaluate for insulin resistance. My primary focus would be on nutrition and lifestyle modifications to lower disease burden & risk. Here is an example of one of my nurses, who sought my counsel. Did an entire lecture on her pic.twitter.com/gTcCgEgaUr— Koushik Reddy, MD (@KoushikReddyMD) December 11, 2019