Clinical and electrophysiological evaluation of patients diagnosed with Wolff-Parkinson-White syndrome during the early childhood period Erken çocukluk döneminde Wolff-Parkinson-White sendromu tanisi alan hastalarin klinik ve elektrofizyolojik deǧerlendirilmesi
Cocuk Sagligi ve Hastaliklari Dergisi, cilt.57, sa.1, ss.1-7, 2014 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 57 Sayı: 1
- Basım Tarihi: 2014
- Dergi Adı: Cocuk Sagligi ve Hastaliklari Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.1-7
- Anahtar Kelimeler: Atrial fibrillation, Supraventricular tachycardia, Ventricular fibrillation, Wolff-Parkinson-White
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Wolff-Parkinson-White (WPW) syndrome presents with paroxysmal supraventricular tachycardia and ECG findings of short PR interval with delta wave. Sudden cardiac death can be the first symptom. Analysis of data of 45 patients aged ≤10 years who underwent electrophysiological evaluation for WPW was performed. Thirty-three patients presented with tachycardia and four with syncope; eight were asymptomatic. Atrial fibrillation was induced in six patients, and it degenerated to ventricular fibrillation (VF) in two (1 of these patients was asymptomatic and the other had syncope); accessory pathway effective refractory period was ≤180 ms in both. Ablation was performed in 30 patients; the success rate was 90% (27/30) and recurrence rate was 17% (5/30). Induction of VF in two patients suggests that the prognosis of WPW in early childhood is not without risk. All patients with WPW pattern should be assessed electrophysiologically and risk-stratified. Ablation in patients with risk factors can prevent sudden death.