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„Asymptomatisches WPW“

Bedarf es einer Therapie?

“Asymptomatic WPW”

Is treatment necessary?

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Herzschrittmachertherapie + Elektrophysiologie Aims and scope Submit manuscript

Zusammenfassung

Der Begriff „asymptomatisches WPW“ wird als Synonym für eine ventrikuläre Präexzitation vom WPW (Wolff-Parkinson-White) Typ aufgrund einer akzessorischen Leitungsbahn verwendet, die sich im Elektrokardiogramm (EKG) im Sinusrhythmus durch eine kurze PQ-Zeit mit Deltawelle manifestiert, ohne dass es bei den Betroffenen zum Auftreten von paroxysmalen Tachykardien kommt. Häufig wird das asymptomatische WPW als Zufallsbefund bei jüngeren Personen ohne sonstige kardiale Auffälligkeiten diagnostiziert. Es besteht ein geringes Risiko des plötzlichen Herztods durch eine schnelle Überleitung auf die Herzkammern über die akzessorische Bahn bei Vorhofflimmern. In diesem Artikel werden verschiedene Aspekte zur nichtinvasiven und invasiven Risikostratifizierung, zur Therapie durch Katheterablation und zur individuellen Risk-Benefit-Diskussion bei asymptomatischem WPW beleuchtet.

Abstract

The term “asymptomatic WPW” (Wolff–Parkinson–White) is often used as a synonym for ventricular pre-excitation of the WPW type due to an accessory pathway characterized by a short PR interval and a delta wave on the electrocardiogram (ECG) without the clinical occurrence of paroxysmal tachycardia. Asymptomatic WPW is often diagnosed in young and otherwise healthy people. There is a small associated risk of sudden cardiac death due to rapid antegrade conduction over the accessory pathway during atrial fibrillation. This paper highlights aspects of noninvasive and invasive risk stratification, therapy by catheter ablation, and the ongoing risk–benefit discussion in asymptomatic WPW.

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Authors and Affiliations

  1. Abteilung für Elektrophysiologie, Deutsches Herzzentrum München, Klinik an der Technischen Universität München, Lazarettstr. 36, 80636, München, Deutschland

    Gabriele Hessling, Marta Telishevska, Sarah Lengauer & Isabel Deisenhofer

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  1. Gabriele Hessling
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  2. Marta Telishevska
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  3. Sarah Lengauer
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  4. Isabel Deisenhofer
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Correspondence to Gabriele Hessling.

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Interessenkonflikt

G. Hessling: speaker and travel fee Abbott, M. Telishevska: speaker and travel fee Abbott, S. Lengauer: speaker and travel fee Abbott, I. Deisenhofer: speaker and travel fee Abbott, Speaker and travel fee Biosense Webster, speaker and travel fee Boston Scientific.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Hessling, G., Telishevska, M., Lengauer, S. et al. „Asymptomatisches WPW“. Herzschr Elektrophys 34, 114–121 (2023). https://doi.org/10.1007/s00399-023-00930-x

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  • DOI: https://doi.org/10.1007/s00399-023-00930-x

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