Multiple accessory pathways in the Wolff-Parkinson-White syndrome as a risk factor for ventricular fibrillation
Identifieur interne : 004772 ( Main/Exploration ); précédent : 004771; suivant : 004773Multiple accessory pathways in the Wolff-Parkinson-White syndrome as a risk factor for ventricular fibrillation
Auteurs : Wee Siong Teo [Canada] ; George J. Klein [Canada] ; Gerard M. Guiraudon [Canada] ; Raymond Yee [Canada] ; James W. Leitch [Canada] ; Douglas Mclellan [Canada] ; Richard A. Leather [Canada] ; You Ho Kim [Canada]Source :
- The American Journal of Cardiology [ 0002-9149 ] ; 1991.
English descriptors
- KwdEn :
- Adult, Atrial Fibrillation (physiopathology), Electrocardiography, Female, Heart Conduction System (pathology), Heart Conduction System (physiopathology), Humans, Male, Predictive Value of Tests, Refractory Period, Electrophysiological (physiology), Regression Analysis, Risk Factors, Ventricular Fibrillation (etiology), Ventricular Fibrillation (physiopathology), Wolff-Parkinson-White Syndrome (complications), Wolff-Parkinson-White Syndrome (physiopathology).
- MESH :
- complications : Wolff-Parkinson-White Syndrome.
- etiology : Ventricular Fibrillation.
- pathology : Heart Conduction System.
- physiology : Refractory Period, Electrophysiological.
- physiopathology : Atrial Fibrillation, Heart Conduction System, Ventricular Fibrillation, Wolff-Parkinson-White Syndrome.
- Adult, Electrocardiography, Female, Humans, Male, Predictive Value of Tests, Regression Analysis, Risk Factors.
Abstract
Ventricular fibrillation (VF) after atrial fibrillation is the mechanism of sudden death in most patients with Wolff-Parkinson-White (WPW) syndrome.1–3 Initial data from Duke University1 suggested that patients who had VF had a shortest RR interval between preexcited beats during atrial fibrillation <250 ms. The use of the shortest RR interval during atrial fibrillation in predicting sudden death prospectively is, however, limited by its low positive predictive value.4 Several studies1,5 have also noted the increased frequency of multiple accessory pathways in VF patients with WPW syndrome although other investigators6 suggested that this was not the case. We sought to determine whether VF occurs more frequently in patients with multiple accessory pathways and whether multiple pathways may be considered as an additional risk factor for this complication.
Url:
DOI: 10.1016/0002-9149(91)90626-V
Affiliations:
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Box 5339, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Klein, George J" sort="Klein, George J" uniqKey="Klein G" first="George J." last="Klein">George J. Klein</name><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>From the Department of Medicine, Division of Cardiology, University Hospital, P.O. Box 5339, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Guiraudon, Gerard M" sort="Guiraudon, Gerard M" uniqKey="Guiraudon G" first="Gerard M." last="Guiraudon">Gerard M. Guiraudon</name><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>From the Department of Medicine, Division of Cardiology, University Hospital, P.O. Box 5339, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Yee, Raymond" sort="Yee, Raymond" uniqKey="Yee R" first="Raymond" last="Yee">Raymond Yee</name><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>From the Department of Medicine, Division of Cardiology, University Hospital, P.O. Box 5339, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Leitch, James W" sort="Leitch, James W" uniqKey="Leitch J" first="James W." last="Leitch">James W. Leitch</name><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>From the Department of Medicine, Division of Cardiology, University Hospital, P.O. Box 5339, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Mclellan, Douglas" sort="Mclellan, Douglas" uniqKey="Mclellan D" first="Douglas" last="Mclellan">Douglas Mclellan</name><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>From the Department of Medicine, Division of Cardiology, University Hospital, P.O. Box 5339, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Leather, Richard A" sort="Leather, Richard A" uniqKey="Leather R" first="Richard A." last="Leather">Richard A. Leather</name><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>From the Department of Medicine, Division of Cardiology, University Hospital, P.O. Box 5339, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Kim, You Ho" sort="Kim, You Ho" uniqKey="Kim Y" first="You Ho" last="Kim">You Ho Kim</name><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>From the Department of Medicine, Division of Cardiology, University Hospital, P.O. Box 5339, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="ISSN">0002-9149</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1991">1991</date><biblScope unit="volume">67</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="889">889</biblScope><biblScope unit="page" to="891">891</biblScope></imprint><idno type="ISSN">0002-9149</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-9149</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Atrial Fibrillation (physiopathology)</term><term>Electrocardiography</term><term>Female</term><term>Heart Conduction System (pathology)</term><term>Heart Conduction System (physiopathology)</term><term>Humans</term><term>Male</term><term>Predictive Value of Tests</term><term>Refractory Period, Electrophysiological (physiology)</term><term>Regression Analysis</term><term>Risk Factors</term><term>Ventricular Fibrillation (etiology)</term><term>Ventricular Fibrillation (physiopathology)</term><term>Wolff-Parkinson-White Syndrome (complications)</term><term>Wolff-Parkinson-White Syndrome (physiopathology)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Ventricular Fibrillation</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Heart Conduction System</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Refractory Period, Electrophysiological</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Atrial Fibrillation</term><term>Heart Conduction System</term><term>Ventricular Fibrillation</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Electrocardiography</term><term>Female</term><term>Humans</term><term>Male</term><term>Predictive Value of Tests</term><term>Regression Analysis</term><term>Risk Factors</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Ventricular fibrillation (VF) after atrial fibrillation is the mechanism of sudden death in most patients with Wolff-Parkinson-White (WPW) syndrome.1–3 Initial data from Duke University1 suggested that patients who had VF had a shortest RR interval between preexcited beats during atrial fibrillation <250 ms. The use of the shortest RR interval during atrial fibrillation in predicting sudden death prospectively is, however, limited by its low positive predictive value.4 Several studies1,5 have also noted the increased frequency of multiple accessory pathways in VF patients with WPW syndrome although other investigators6 suggested that this was not the case. We sought to determine whether VF occurs more frequently in patients with multiple accessory pathways and whether multiple pathways may be considered as an additional risk factor for this complication.</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Teo, Wee Siong" sort="Teo, Wee Siong" uniqKey="Teo W" first="Wee Siong" last="Teo">Wee Siong Teo</name></noRegion><name sortKey="Guiraudon, Gerard M" sort="Guiraudon, Gerard M" uniqKey="Guiraudon G" first="Gerard M." last="Guiraudon">Gerard M. Guiraudon</name><name sortKey="Kim, You Ho" sort="Kim, You Ho" uniqKey="Kim Y" first="You Ho" last="Kim">You Ho Kim</name><name sortKey="Klein, George J" sort="Klein, George J" uniqKey="Klein G" first="George J." last="Klein">George J. Klein</name><name sortKey="Leather, Richard A" sort="Leather, Richard A" uniqKey="Leather R" first="Richard A." last="Leather">Richard A. Leather</name><name sortKey="Leitch, James W" sort="Leitch, James W" uniqKey="Leitch J" first="James W." last="Leitch">James W. Leitch</name><name sortKey="Mclellan, Douglas" sort="Mclellan, Douglas" uniqKey="Mclellan D" first="Douglas" last="Mclellan">Douglas Mclellan</name><name sortKey="Yee, Raymond" sort="Yee, Raymond" uniqKey="Yee R" first="Raymond" last="Yee">Raymond Yee</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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