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@vickilf5

The treatment really depends on what the underlying condition is and none of us has enough information to answer that question. For example your ECG change could reflect a fasciculo ventricular pathway which would not carry a risk of tachycardia or a residual or second anterograde conducting pathway which may or may not be amenable to a repeat ablation. In my humble opinion the best approach would be to see a qualified Electrophysiologist who could review all of your tracings and your medical history and examine you and help you make a decision regarding the best pathway forward. An electrophysiologist is a cardiologist who has additional specialized training to take care of heart rhythm disorders.

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Replies to "The treatment really depends on what the underlying condition is and none of us has enough..."

Thank you for your response. I have been seeing an electrophysiologist for over 3 years now (and have seen others at Cleveland Clinic, Duke, and UNC) and a cardiologist since 2013, and I still do not have a confirmed diagnosis. An electrophysiologist did the ablation in 2023.

I had not heard of the fasciculo ventricular pathway, so I will look into that. However, I have tachycardia outside the WPW, and no one has determined where it stems from.

Thank you again!