Properly Identified Ventricular Pre-excitation Aid in Pre-procedural Considerations

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.

LaRocca T, et al. Am J Cardiol. 2019;doi:10.1016/j.amjcard.2019.04.053