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Wolff-Parkinson-White syndrome: atrial fibrillation as the presenting arrhythmia.
  1. K Robinson,
  2. E Rowland,
  3. D M Krikler
  1. Division of Cardiovascular Disease, Royal Postgraduate Medical School, Hammersmith Hospital, London.

    Abstract

    Atrial fibrillation was identified as the initial arrhythmia complicating the Wolff-Parkinson-White syndrome in ten (9%) of 108 patients. Despite initially rapid ventricular responses in seven, long term survival and control of arrhythmia were excellent on medical treatment. Whereas symptom free patients with the pre-excitation syndrome who have additional underlying disease predisposing to atrial fibrillation may need detailed electrophysiological study, a more conservative approach is suitable for the typical symptom free individual.

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