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Medifam
Print version ISSN 1131-5768
Abstract
CASTILLO ARROJO, S. del and SIERRA SANTOS, L.. Management and diagnosis of Wolff Parkinson White syndrome by Primary Health Care . Medifam [online]. 2001, vol.11, n.7, pp.9-22. ISSN 1131-5768.
Wolff Parkinson White Syndrome is a cardiac abnormality that affects 0.1-3 of the general population. Diagnosis is based on the finding of preexcitation in the electrocardiogram and a history of palpitations. Usual clinical presentation are paroxystic episodes of palpitations, which are benign; but sudden cardiac death risk is higher among Wolff Parkinson White Syndrome patients than in the general population. The treatment for these patients has changed during the last few years after the development of curative radiofrecuency ablation techniques, with a high probability of success but with some potential risk. Primary Health Care physicians should make the diagnosis and send to the cardiologist those special cases that might need complex diagnostic tests or that may need a curative ablation procedure because of their risk or their symptoms.
Keywords : Wolff Parkinson White syndrome; Arrythmia; Pre-excitacion syndrome; Catheter ablation.