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Would You Recommend Electrophysiological Testing And Possible Ablation When Diagnosed With WPW Syndrome?

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Posted on Fri, 20 Oct 2023
Question: my grandson was just diagnosed with wpw through a screening at the high school. he had a ecg 2 years ago and it did not show up, but it shows up now on all the tests. Also on the stress test. Would you recommend an ep and possible ablation?
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Answered by Dr. Lekshmi Rita Venugopal (2 hours later)
Brief Answer:
Management of Wolff Parkinson White (WPW) syndrome

Detailed Answer:

Hello,

Thank you for trusting us.

WPW syndrome is the presence of accessory conducting pathway in the heart. It can evolve and show up later even though a previous ECG is normal.
Electrophysiological testing is very important for individuals diagnosed with wpw syndrome for severity and risk stratification. Depending on the electrophysiological (EPS) testing results and the level of his physical exertion, the cardiologist will decide on whether medical management or radiofrequency ablation is needed.
So, please go ahead and get the EPS testing done.
Meanwhile, if he develops palpitations (rapid heart rate), do Valsalva maneuver or unilateral carotid massage to reduce the heart rate.

Hope this answers your query
Please let me know if you need further clarification
Regards
Dr.Lekshmi
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Lekshmi Rita Venugopal

General & Family Physician

Practicing since :2012

Answered : 3808 Questions

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Would You Recommend Electrophysiological Testing And Possible Ablation When Diagnosed With WPW Syndrome?

Brief Answer: Management of Wolff Parkinson White (WPW) syndrome Detailed Answer: Hello, Thank you for trusting us. WPW syndrome is the presence of accessory conducting pathway in the heart. It can evolve and show up later even though a previous ECG is normal. Electrophysiological testing is very important for individuals diagnosed with wpw syndrome for severity and risk stratification. Depending on the electrophysiological (EPS) testing results and the level of his physical exertion, the cardiologist will decide on whether medical management or radiofrequency ablation is needed. So, please go ahead and get the EPS testing done. Meanwhile, if he develops palpitations (rapid heart rate), do Valsalva maneuver or unilateral carotid massage to reduce the heart rate. Hope this answers your query Please let me know if you need further clarification Regards Dr.Lekshmi