Non-Invasive Risk Stratification Falsely Reassuring? A Catecholamine Sensitive Accessory Pathway

Robert C. Ward; Hina Amin; Christopher V. DeSimone

doi:10.1016/j.hrcr.2025.08.014

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Non-Invasive Risk Stratification Falsely Reassuring? A Catecholamine Sensitive Accessory Pathway

Journal article

Open access

Peer reviewed

Non-Invasive Risk Stratification Falsely Reassuring? A Catecholamine Sensitive Accessory Pathway

Robert C. Ward, Hina Amin and Christopher V. DeSimone

HeartRhythm case reports, Vol.11(11), pp.1157-1159

11/2025

DOI: 10.1016/j.hrcr.2025.08.014

PMCID: PMC12666977

PMID: 41333866

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Abstract

1)Non-invasive risk stratification strategies for Wolff-Parkinson-White may be falsely reassuring.2)Syncope in a patient with Wolff-Parkinson-White should prompt an invasive risk stratification strategy3)Accessory pathways can be highly sensitive to catecholamines and the use of isoproterenol or adjunct agent should be strongly considered in any risk stratification procedure.

Accessory Pathway Ablation

Atrioventricular Accessory Pathway

Catecholamine Sensitivity

Non-Invasive Risk Assessment

Syncope

Wolff-Parkinson-White Syndrome

Details

Title: Subtitle: Non-Invasive Risk Stratification Falsely Reassuring? A Catecholamine Sensitive Accessory Pathway
Creators: Robert C. Ward - Mayo Clinic
Hina Amin - Mayo Clinic
Christopher V. DeSimone - Mayo Clinic
Resource Type: Journal article
Publication Details: HeartRhythm case reports, Vol.11(11), pp.1157-1159
DOI: 10.1016/j.hrcr.2025.08.014
PMID: 41333866
PMCID: PMC12666977
NLM abbreviation: HeartRhythm Case Rep
ISSN: 2214-0271
eISSN: 2214-0271
Publisher: Elsevier Inc
Language: English
Electronic publication date: 08/2025
Date published: 11/2025
Academic Unit: Internal Medicine
Record Identifier: 9984961112002771

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