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导管消融是有心律失常发作预激综合征的首选治疗方法。而临床上无症状预激其实并不少见,并且通过临床观察,部分无症状的预激综合征往往最终发展为有症状的心律失常,有少部分无症状预激则以猝死为首发表现,而这种猝死往往发生在院外。对于无症状预激的处理,目前仍存在不同的观点,部分学者对无症状预激行射频消融持保守态度,主张以观察为主,也有学者主张基于电生理检查基础上的预防性射频消融可改善部分高危人群的预后。
Catheter ablation is the preferred treatment of arrhythmia pre-excitation syndrome. The clinically asymptomatic pre-excitation is not uncommon, and through clinical observation, part of the asymptomatic Wolff-Parkinson’s syndrome tend to eventually develop into a symptomatic arrhythmia, a small part of asymptomatic pre-excitation sudden death as the first performance, and This sudden death often occurs outside the hospital. Asymptomatic pre-excitation treatment, there are still different points of view, some scholars asymptomatic pre-excitation radiofrequency ablation conservative, advocating the observation-based, but also some scholars advocate based on the electrophysiological examination of the preventive radiofrequency ablation can be based on Improve the prognosis of some high-risk groups.