Electrophysiological properties of asymptomatic children and adolescents with the Wolff-Parkinson-White electrocardiographic pattern
| Autor: | Volkan Tuzcu, Celal Akdeniz, Serhat Koca |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Tachycardia medicine.medical_specialty lcsh:Internal medicine lcsh:Diseases of the circulatory (Cardiovascular) system Adolescent medicine.medical_treatment lcsh:Medicine Catheter ablation Accessory pathway Asymptomatic sudden cardiac death asymptomatic child wolff-parkinson-white electrocardiographic pattern Electrocardiography Internal medicine Atrial Fibrillation Tachycardia Supraventricular medicine Humans cardiovascular diseases Child lcsh:RC31-1245 Retrospective Studies business.industry lcsh:R Effective refractory period Atrial fibrillation Retrospective cohort study Ablation medicine.disease lcsh:RC666-701 Asymptomatic Diseases Catheter Ablation Cardiology Female Wolff-Parkinson-White Syndrome medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Türk Kardiyoloji Derneği Arşivi, Vol 47, Iss 8, Pp 674-679 (2019) |
| ISSN: | 1016-5169 |
| Popis: | Objective: Optimal management in asymptomatic children and adolescents with the Wolff-Parkinson-White (WPW) electrocardiographic pattern is still debatable. The aim of this retrospective study was to evaluate the electrophysiological properties of asymptomatic children and adolescents with WPW. Methods: The medical records and procedural data of asymptomatic children and adolescents with the WPW electrocardiographic pattern who underwent invasive electrophysiological study (EPS) and catheter ablation between April 2012 and April 2018 were evaluated. Results: In all, 149 consecutive, asymptomatic children and adolescents with WPW who underwent EPS were retrospectively investigated. In 39 (26.2%) of the patients, a shortest pre-excited R–R interval of ≤250 ms during atrial fibrillation or an accessory pathway effective refractory period of ≤270 ms was found. A total of 39 patients with high-risk antegrade conduction and 45 patients with inducible orthodromic atrioventricular re-entrant tachycardia underwent catheter ablation. In addition, 14 patients underwent catheter ablation due to family preference. Conclusion: High-risk antegrade conduction properties are exhibited by more than one-quarter of asymptomatic children and adolescents with WPW. Ablation should be considered as a first-line therapy in asymptomatic children and adolescents with high-risk WPW. |
| Databáze: | OpenAIRE |
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