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Volume 352:92-93 January 6, 2005 Number 1
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Risk Stratification for Prophylactic Ablation in Asymptomatic Wolff–Parkinson–White Syndrome

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by Pappone, C.
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To the Editor: The most surprising finding in the article by Pappone et al. (Sept. 16 issue)1 is not that prophylactic ablation results in a low risk of life-threatening arrhythmias. It is that their control group had an extraordinarily high rate of such events. The authors enrolled asymptomatic children and considered them to be at high risk if they had inducible atrial fibrillation or atrioventricular reciprocating tachycardia. Neither criterion is widely accepted as a feature that defines a high risk for sudden death. Indeed, Pappone et al. did not consider pathway refractory periods or preexcited RR intervals among their inclusion . . . [Full Text of this Article]



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