ASSOCIATIONS BETWEEN AP AERP ESTIMATED THROUGH EXERCISE STRESS TEST (EST) AND AP AERP SETERMINED VIA ELECTROPHYSIOLOGY STUDY (EPS) IN ASYMPTOMATIC WPW PATIENTS

Phan Đình Phong1,2,, Nguyễn Thanh Hưng3, Bùi Văn Nhơn2
1 Vietnam National Heart Institute, Bach Mai Hospital
2 Hanoi Medical University
3 Nghe An Friendship General Hospital

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Abstract

To examine associations between AP AERP estimated through exercise stress test (EST) and AP AERP determined via electrophysiology study (EPS) in asymptomatic WPW patients. The study includes 35 asymptomatic WPW patients, undergoing both EST and EPS. Subjects were risk stratificated and AP AERP estimated through EST, based on the heart rate that WPW suddenly disappears, or the max heart rate during EST. AP AERP was also determined via EPS for all patients. AP AERP measurements by 2 tests were compared.6 patients were stratificated as low risk through EST, their AP AERP estimated was 469 ± 84 ms, which is not statistically significantly different from the index determined via EPS: 451 ± 128 ms. In 29 subjects classified as high risk through EST, AP AERP estimated is 379 ± 31 ms, while the index determined via EPS was 298 ± 77 ms; the difference is statistically significant. The asymptomatic WPW patients stratificated as high risk through EST, are strongly recommended to undergo EPS and consider ablation.

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References

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