ParkinsonCanadaV1, Main, Exploration, bibRecord, 004D38

Relation Between clinical presentation and induced arrhythmias in the Wolff-Parkinson-White syndrome

Identifieur interne : 004D38 ( Main/Exploration ); précédent : 004D37; suivant : 004D39

Relation Between clinical presentation and induced arrhythmias in the Wolff-Parkinson-White syndrome

Auteurs : Claus Rinne [Canada] ; George J. Klein [Canada] ; Arjun D. Sharma [Canada] ; Raymond Yee [Canada] ; Simon Milstein [Canada] ; Max F. Rattes [Canada]

Source :

The American Journal of Cardiology [ 0002-9149 ] ; 1987.

RBID : ISTEX:756DF68C51DA97BFD23E6542557B37D27446B83C

Descripteurs français

Pascal (Inist)
- Appareil circulatoire pathologie, Homme, Oreillette, Pronostic, Stimulation instrumentale, Trouble rythme cardiaque, Ventricule droit, Wolff Parkinson White syndrome.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Arrhythmia, Atrium, Cardiovascular disease, Human, Instrumental stimulation, Prognosis, Right ventricle, Wolff Parkinson White syndrome.

Abstract

Electrophysiologic testing is warranted in patients with the Wolff-Parkinson-White (WPW) syndrome presenting with rapid atrial fibrillation (AF) or ventricular fibrillation. Indications are less clear in patients presenting only with atrioventricular reentrant tachycardia (ART). A knowledge of propensity of this latter group to show a rapid ventricular response in the event of AF and the ability of electrophysiologic testing to reproduce the type and rate of clinical arrhythmias are relevant to this decision. The records of 126 symptomatic patients with manifest WPW syndrome were reviewed and separated into 4 groups according to presentation: group 1—AF; group 2—ART; group 3—palpitations suggesting ART; and group 4—AF and ART. All patients except those in group 3 had electrocardiographically documented clinical arrhythmias, and these arrhythmias were compared with those induced during electrophysiologic testing. The shortest RR interval during induced AF and the cycle length of induced ART correlated well with those occurring clinically (r = 0.72, p < 0.00001), as did the cycle length of induced ART (r = 0.79, p < 0.00001). Patients presenting with AF (65%) had a higher incidence of atrial vulnerability (48%) and sustained AF at electrophysiologic testing than those presenting with ART (16% and 5%) or undocumented palpitations (27% and 21%). Forty-one percent of patients with ART and 51% with undocumented palpitations had potentially lethal rates (shortest RR interval <250 ms) during induced AF. The ability to reproduce clinical arrhythmias and the frequency of rapid rates during AF induced in patients presenting with only ART or undocumented palpitations supports the recommendation for electrophysiologic testing in symptomatic patients with WPW.

Url:

https://api-v5.istex.fr/document/756DF68C51DA97BFD23E6542557B37D27446B83C/fulltext/pdf

DOI: 10.1016/0002-9149(87)90308-0

Affiliations:

Canada

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<front><div type="abstract" xml:lang="en">Electrophysiologic testing is warranted in patients with the Wolff-Parkinson-White (WPW) syndrome presenting with rapid atrial fibrillation (AF) or ventricular fibrillation. Indications are less clear in patients presenting only with atrioventricular reentrant tachycardia (ART). A knowledge of propensity of this latter group to show a rapid ventricular response in the event of AF and the ability of electrophysiologic testing to reproduce the type and rate of clinical arrhythmias are relevant to this decision. The records of 126 symptomatic patients with manifest WPW syndrome were reviewed and separated into 4 groups according to presentation: group 1—AF; group 2—ART; group 3—palpitations suggesting ART; and group 4—AF and ART. All patients except those in group 3 had electrocardiographically documented clinical arrhythmias, and these arrhythmias were compared with those induced during electrophysiologic testing. The shortest RR interval during induced AF and the cycle length of induced ART correlated well with those occurring clinically (r = 0.72, p < 0.00001), as did the cycle length of induced ART (r = 0.79, p < 0.00001). Patients presenting with AF (65%) had a higher incidence of atrial vulnerability (48%) and sustained AF at electrophysiologic testing than those presenting with ART (16% and 5%) or undocumented palpitations (27% and 21%). Forty-one percent of patients with ART and 51% with undocumented palpitations had potentially lethal rates (shortest RR interval <250 ms) during induced AF. The ability to reproduce clinical arrhythmias and the frequency of rapid rates during AF induced in patients presenting with only ART or undocumented palpitations supports the recommendation for electrophysiologic testing in symptomatic patients with WPW.</div>
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La maladie de Parkinson au Canada (serveur d'exploration)

Relation Between clinical presentation and induced arrhythmias in the Wolff-Parkinson-White syndrome

Relation Between clinical presentation and induced arrhythmias in the Wolff-Parkinson-White syndrome

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	La maladie de Parkinson au Canada (serveur d'exploration)
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