Exercise Testing in Children With Wolff-Parkinson-White Syndrome: What Is Its Value?
| Autor: | M. Dalili, J. Y. Rao, M. Y. Aarabi-Moghaddam, K. Vahidshahi, P. Brugada |
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| Přispěvatelé: | Clinical sciences, Cardio-vascular diseases |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Adolescent RR interval Accessory pathway Electrocardiography Heart Conduction System Internal medicine Positive predicative value medicine Humans Child Children Retrospective Studies Exercise Tolerance business.industry Effective refractory period Wolff-Parkinson-White syndrome Reproducibility of Results Gold standard (test) Vascular surgery WPW SYNDROME Surgery Cardiac surgery Child Preschool Pediatrics Perinatology and Child Health Exercise Test Cardiology Female Cardiology and Cardiovascular Medicine business Arrhythmia Pre-excitation Follow-Up Studies |
| Popis: | This study was conducted to evaluate the accuracy of exercise testing for predicting accessory pathway characteristics in children with Wolff-Parkinson-White (WPW) syndrome. The study enrolled 37 children with WPW syndrome and candidates for invasive electrophysiologic study (EPS). Exercise testing was performed for all the study participants before the invasive study. Data from the invasive EPS were compared with findings from the exercise testing. The sudden disappearance of the delta (Δ) wave was seen in 10 cases (27 %). No significant correlation was found between the Δ wave disappearance and the antegrade effective refractory period of the accessory pathway (AERP-AP) or the shortest pre-excited RR interval (SPERRI). The sensitivity, specificity, and positive and negative predictive values of Δ wave disappearance, based on AERP-AP as gold standard, were respectively 29.4, 80, 71.4, and 40 %. The corresponding values with SPERRI as the gold standard were respectively 23.8, 71.4, 71.4 and 23.8 %. Exercise testing has a medium to low rate of accuracy in detecting low-risk WPW syndrome patients in the pediatric age group. |
| Databáze: | OpenAIRE |
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