Electrophysiological properties of asymptomatic children and adolescents with the Wolff-Parkinson-White electrocardiographic pattern
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. Meth...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2019-12-01
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| Series: | Türk Kardiyoloji Derneği Arşivi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-41354 |
| _version_ | 1797916034559115264 |
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| author | Serhat Koca Celal Akdeniz Volkan Tuzcu |
| author_facet | Serhat Koca Celal Akdeniz Volkan Tuzcu |
| author_sort | Serhat Koca |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T12:50:46Z |
| format | Article |
| id | doaj.art-a24c83ca10114edc872748d84ca4fc13 |
| institution | Directory Open Access Journal |
| issn | 1016-5169 |
| language | English |
| last_indexed | 2024-04-10T12:50:46Z |
| publishDate | 2019-12-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Türk Kardiyoloji Derneği Arşivi |
| spelling | doaj.art-a24c83ca10114edc872748d84ca4fc132023-02-15T16:13:49ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692019-12-0147867467910.5543/tkda.2019.41354TKDA-41354Electrophysiological properties of asymptomatic children and adolescents with the Wolff-Parkinson-White electrocardiographic patternSerhat Koca0Celal Akdeniz1Volkan Tuzcu2Department of Pediatric Cardiology, Istanbul Medipol University, Pediatric and Genetic Arrhythmia Center, IstanbulDepartment of Pediatric Cardiology, Istanbul Medipol University, Pediatric and Genetic Arrhythmia Center, IstanbulDepartment of Pediatric Cardiology, Istanbul Medipol University, Pediatric and Genetic Arrhythmia Center, IstanbulObjective: 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.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-41354sudden cardiac deathasymptomatic; child; wolff-parkinson-white electrocardiographic pattern. |
| spellingShingle | Serhat Koca Celal Akdeniz Volkan Tuzcu Electrophysiological properties of asymptomatic children and adolescents with the Wolff-Parkinson-White electrocardiographic pattern Türk Kardiyoloji Derneği Arşivi sudden cardiac death asymptomatic; child; wolff-parkinson-white electrocardiographic pattern. |
| title | Electrophysiological properties of asymptomatic children and adolescents with the Wolff-Parkinson-White electrocardiographic pattern |
| title_full | Electrophysiological properties of asymptomatic children and adolescents with the Wolff-Parkinson-White electrocardiographic pattern |
| title_fullStr | Electrophysiological properties of asymptomatic children and adolescents with the Wolff-Parkinson-White electrocardiographic pattern |
| title_full_unstemmed | Electrophysiological properties of asymptomatic children and adolescents with the Wolff-Parkinson-White electrocardiographic pattern |
| title_short | Electrophysiological properties of asymptomatic children and adolescents with the Wolff-Parkinson-White electrocardiographic pattern |
| title_sort | electrophysiological properties of asymptomatic children and adolescents with the wolff parkinson white electrocardiographic pattern |
| topic | sudden cardiac death asymptomatic; child; wolff-parkinson-white electrocardiographic pattern. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-41354 |
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