EP on EP Episode 55 - Risk Stratification for SCD Asymptomatic Ventricular Pre-Excitation Patients-EP on EP Episode 55

Video Transcription

Video Summary

In this video, Eric Prystowski interviews Dr. George Klein, a professor of medicine, about risk stratification for sudden death in patients with asymptomatic pre-excitation. Dr. Klein discusses a landmark paper he wrote at Duke University, which found that the risk of death in these patients depends on the rapidity of the ventricular rate during atrial fibrillation. He states that if the shortest RR interval during pre-excited atrial fibrillation is less than 220, the risk of sudden death is higher. However, he cautions that even in the at-risk group, the risk is relatively low. The discussion also covers the approach to asymptomatic patients and the importance of operator competence in ablation procedures.

Keywords

risk stratification

sudden death

asymptomatic pre-excitation

ventricular rate

ablation procedures