When is radiofrequency (RF) ablation indicated for the treatment of Wolff-Parkinson-White (WPW) syndrome?

Updated: Jan 08, 2017
  • Author: Christopher R Ellis, MD, FACC, FHRS; Chief Editor: Mikhael F El-Chami, MD  more...
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Answer

Radiofrequency ablation is indicated in the following patients:

  • Patients with symptomatic AVRT
  • Patients with AF or other atrial tachyarrhythmias that have rapid ventricular response via an accessory pathway (preexcited AF)
  • Patients with AVRT or AF with rapid ventricular rates found incidentally during EPS for unrelated dysrhythmia, if the shortest preexcited RR interval during AF is less than 250 ms [4]
  • Asymptomatic patients with ventricular preexcitation whose livelihood, profession, insurability, or mental well-being may be influenced by unpredictable tachyarrhythmias or in whom such tachyarrhythmias would endanger the public safety [5]
  • Patients with WPW and a family history of sudden cardiac death

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