What are the PACES/HRS recommendations for preoperative EPS in adults with congenital heart disease (CHD) and 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

A preoperative electrophysiology study may be considered in adults with CHD and any of the following criteria:

  • Nonsustained rapid atrial or ventricular tachyarrhythmias
  • Moderate or complex CHD known to be at high risk for atrial arrhythmia development but without documented sustained arrhythmia
  • History of palpitations or symptoms thought to be related to arrhythmia
  • Atrial fibrillation triggering supraventricular arrhythmia

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