Atrial Fibrillation in WPW Syndrome

Background : In large-scale general population studies involving children and adults, the prevalence of WPW is estimated to be 13 in 1000 individuals. At present, it is estimated that approximately 65% of adolescents and 40% of individuals over 30 years with WPW pattern on a resting ECG are asymptom...

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Main Authors: Dony Yugo, Yoga Yuniadi
Format: Article
Language:English
Published: Indonesian Heart Association 2015-05-01
Series:Majalah Kardiologi Indonesia
Subjects:
Online Access:http://ijconline.id/index.php/ijc/article/view/396
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author Dony Yugo
Yoga Yuniadi
author_facet Dony Yugo
Yoga Yuniadi
author_sort Dony Yugo
collection DOAJ
description Background : In large-scale general population studies involving children and adults, the prevalence of WPW is estimated to be 13 in 1000 individuals. At present, it is estimated that approximately 65% of adolescents and 40% of individuals over 30 years with WPW pattern on a resting ECG are asymptomatic. An incidence of 4.5 episodes of sudden death, including resuscitated sudden cardiac death (SCD), per 1000 patient-years was recently reported. The mechanism of sudden cardiac death in patients with WPW is thought to be associated with atrial fibrillation Case Illustration : We reported a case of 45 year old female came with unstable irregular wide complex tachycardia in the form of pre-excited AF. Cardioversion successfully terminate the tachyaarhythmias. ECG in sinus rhythm revealed WPW pattern ECG. Patient then referred for catheter ablation. Successful ablation was done resulting a normal pattern ECG Conclusion : AF in WPW syndrome could lead to devastating events such as cardiac arrest. ECG recognition at the first place is very important for early management. Early stratification and management in patients with WPW is important to diminished the risk of AF occurence and SCD.
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spelling doaj.art-14ffd836bef84bfeae5951da1f102dd52022-12-21T23:41:32ZengIndonesian Heart AssociationMajalah Kardiologi Indonesia0126-37732620-47622015-05-0135210.30701/ijc.v35i2.396Atrial Fibrillation in WPW SyndromeDony Yugo0Yoga Yuniadi1JKIJKIBackground : In large-scale general population studies involving children and adults, the prevalence of WPW is estimated to be 13 in 1000 individuals. At present, it is estimated that approximately 65% of adolescents and 40% of individuals over 30 years with WPW pattern on a resting ECG are asymptomatic. An incidence of 4.5 episodes of sudden death, including resuscitated sudden cardiac death (SCD), per 1000 patient-years was recently reported. The mechanism of sudden cardiac death in patients with WPW is thought to be associated with atrial fibrillation Case Illustration : We reported a case of 45 year old female came with unstable irregular wide complex tachycardia in the form of pre-excited AF. Cardioversion successfully terminate the tachyaarhythmias. ECG in sinus rhythm revealed WPW pattern ECG. Patient then referred for catheter ablation. Successful ablation was done resulting a normal pattern ECG Conclusion : AF in WPW syndrome could lead to devastating events such as cardiac arrest. ECG recognition at the first place is very important for early management. Early stratification and management in patients with WPW is important to diminished the risk of AF occurence and SCD.http://ijconline.id/index.php/ijc/article/view/396atrial fibrillationWPW syndromeaccessory pathwayablation
spellingShingle Dony Yugo
Yoga Yuniadi
Atrial Fibrillation in WPW Syndrome
Majalah Kardiologi Indonesia
atrial fibrillation
WPW syndrome
accessory pathway
ablation
title Atrial Fibrillation in WPW Syndrome
title_full Atrial Fibrillation in WPW Syndrome
title_fullStr Atrial Fibrillation in WPW Syndrome
title_full_unstemmed Atrial Fibrillation in WPW Syndrome
title_short Atrial Fibrillation in WPW Syndrome
title_sort atrial fibrillation in wpw syndrome
topic atrial fibrillation
WPW syndrome
accessory pathway
ablation
url http://ijconline.id/index.php/ijc/article/view/396
work_keys_str_mv AT donyyugo atrialfibrillationinwpwsyndrome
AT yogayuniadi atrialfibrillationinwpwsyndrome