What are the PACES/HRS guidelines for the evaluation and diagnosis 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

For the evaluation of asymptomatic patients aged 8-21 years with WPW, the guidelines recommend an exercise stress test when ambulatory ECGs show persistent excitation. [17]  If noninvasive testing does not clearly show abrupt loss of preexcitation, clinicians should consider using invasive risk stratification (transesophageal/intracardiac) to assess the shortest preexcite RR interval in AF. [17]


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