(FIT)-Module 5 Workshop 9: Arrhythmia Case Studies (Putting It All Together for the Boards)-Ellenbogen Case 6 Answer

Video Transcription

Video Summary

The video discusses a case of an asymptomatic young man with intermittent pre-excitation due to a right-sided bypass track, indicating a low risk of sudden cardiac death. The 2012 PACES Heart Rhythm Society guidelines suggest no intervention for patients without symptoms. Invasive EPS is advised if manifest pre-excitation loss cannot be demonstrated. Evaluation includes identifying accessory pathways and measuring refractory periods. For asymptomatic patients aged 8-21 with WPW, an exercise stress test is recommended if ambulatory ECGs show persistent pre-excitation. Invasive risk stratification should be considered if non-invasive tests do not indicate abrupt loss of pre-excitation.

Keywords

asymptomatic young man

intermittent pre-excitation

right-sided bypass track

PACES Heart Rhythm Society guidelines

invasive electrophysiological study