Wolff-Parkinson-White syndrome treatment algorithm

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Wolff-Parkinson-White syndrome Microchapters


Patient Information


Historical Perspective



Differentiating Wolff-Parkinson-White syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis



History and Symptoms


EKG Examples

Other Diagnostic Studies


Risk Stratification


Medical Therapy

Catheter Ablation


Consensus Statement

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Management Algorithm

Algorithm as per PACES/HRS Expert Consensus Statement on the management of asymptomatic young patient with WPW syndrome[1]:

WPW management.jpg

Adapted from Cohen et al. Heart Rhythm 2012;9:1006-1024[1]

Footnote: *Patients unable to perform an exercise test should undergo risk-stratification with an electrophysiologic study; # Counselling should be provided regarding symtpom awareness; Prior to invasive testing, patients should be counseled regarding the risks and benefits of the studies; Patients participating at moderate-level competitive sports should be counseled regarding the risk-benefit of ablation and follow the Bethesda Conference guidelines[2]; SPERRI: Shortest pre-excitd RR interval


  1. 1.0 1.1 Cohen MI, Triedman JK, Cannon BC; et al. (2012). "PACES/HRS Expert Consensus Statement on the Management of the Asymptomatic Young Patient with a Wolff-Parkinson-White (WPW, Ventricular Preexcitation) Electrocardiographic Pattern: Developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). Endorsed by the governing bodies of PACES, HRS, the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), the American Academy of Pediatrics (AAP), and the Canadian Heart Rhythm Society (CHRS)". Heart Rhythm. doi:10.1016/j.hrthm.2012.03.050. PMID 22579340. Unknown parameter |month= ignored (help)
  2. Zipes DP, Ackerman MJ, Estes NA, Grant AO, Myerburg RJ, Van Hare G (2005). "Task Force 7: arrhythmias". J. Am. Coll. Cardiol. 45 (8): 1354–63. doi:10.1016/j.jacc.2005.02.014. PMID 15837287. Unknown parameter |month= ignored (help)