ParkinsonFranceV1, Main, Exploration, bibRecord, 000B33

A case series of patients with poorly-tolerated arrhythmias related to a preexcitation syndrome and presenting with atypical ECG

Identifieur interne : 000B33 ( Main/Exploration ); précédent : 000B32; suivant : 000B34

A case series of patients with poorly-tolerated arrhythmias related to a preexcitation syndrome and presenting with atypical ECG

Auteurs : Béatrice Brembilla-Perrot [France] ; Jean Marc Sellal [France] ; Arnaud Olivier [France] ; Vladimir Manenti [France] ; Daniel Beurrier [France] ; BASSAM AL JOUMA [France] ; Marius Andronache [France] ; Christian De Chillou [France] ; Nicolas Girerd [France] ; Thibaut Villemin [France]

Source :

International journal of cardiology [ 0167-5273 ] ; 2014.

RBID : Pascal:14-0134632

Descripteurs français

Pascal (Inist)
- Trouble du rythme cardiaque, Syndrome de Wolff-Parkinson-White, Pathologie de l'appareil circulatoire, Etude cas, Homme, Malade, Signe inaugural, Atypique, Electrocardiographie, Cardiologie, Symptomatologie.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Arrhythmia, Atypical, Cardiology, Cardiovascular disease, Case study, Electrocardiography, Human, Inaugural sign, Patient, Symptomatology, Wolff-Parkinson-White syndrome.

Abstract

The aim of study was to report different and unusual patterns of preexcitation syndrome (PS) noted in patients referred for studied for poorly-tolerated arrhythmias and their frequency. Electrophysiologic study (EPS) is an easy means to identify a patient with PS at risk of serious events. However the main basis for this diagnosis is the ECG which associates short PR interval and widening of QRS complex with a delta wave. Methods: ECGs of 861 patients in whom PS related to an atrioventricular accessory pathway (AP) was identified at electrophysiological study (EPS), were studied. Results: The most frequent unusual presentation (9.6%) was the PS presenting with a normal or near normal ECG, noted preferentially for left lateral AP and rarely for posteroseptal or right lateral location. More exceptional (0.1%) was the presence of a long PR interval, which did not exclude a rapid conduction over AP. The association of a complete AV block with symptomatic tachycardias was exceptional (0.3%) and was shown related to a rapid conduction over AP after isoproterenol. Most of the presented patients were at high-risk at EPS. Conclusion: The diagnosis of PS is not always evident and symptoms should draw attention to minor abnormalities and lead to enlarge indications of EPS, only means to confirm or not PS.

Affiliations:

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

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Le document en format XML

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<author><name sortKey="Villemin, Thibaut" sort="Villemin, Thibaut" uniqKey="Villemin T" first="Thibaut" last="Villemin">Thibaut Villemin</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Cardiology, University Hospital of Brabois, Vandoeuvre Les Nancy</s1>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><region type="region" nuts="2">Grand Est</region>
<region type="old region" nuts="2">Lorraine (région)</region>
<settlement type="city">Vandœuvre-lès-Nancy</settlement>
<settlement type="city" wicri:auto="agglo">Nancy</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">International journal of cardiology</title>
<title level="j" type="abbreviated">Int. j. cardiol.</title>
<idno type="ISSN">0167-5273</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">International journal of cardiology</title>
<title level="j" type="abbreviated">Int. j. cardiol.</title>
<idno type="ISSN">0167-5273</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arrhythmia</term>
<term>Atypical</term>
<term>Cardiology</term>
<term>Cardiovascular disease</term>
<term>Case study</term>
<term>Electrocardiography</term>
<term>Human</term>
<term>Inaugural sign</term>
<term>Patient</term>
<term>Symptomatology</term>
<term>Wolff-Parkinson-White syndrome</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Trouble du rythme cardiaque</term>
<term>Syndrome de Wolff-Parkinson-White</term>
<term>Pathologie de l'appareil circulatoire</term>
<term>Etude cas</term>
<term>Homme</term>
<term>Malade</term>
<term>Signe inaugural</term>
<term>Atypique</term>
<term>Electrocardiographie</term>
<term>Cardiologie</term>
<term>Symptomatologie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">The aim of study was to report different and unusual patterns of preexcitation syndrome (PS) noted in patients referred for studied for poorly-tolerated arrhythmias and their frequency. Electrophysiologic study (EPS) is an easy means to identify a patient with PS at risk of serious events. However the main basis for this diagnosis is the ECG which associates short PR interval and widening of QRS complex with a delta wave. Methods: ECGs of 861 patients in whom PS related to an atrioventricular accessory pathway (AP) was identified at electrophysiological study (EPS), were studied. Results: The most frequent unusual presentation (9.6%) was the PS presenting with a normal or near normal ECG, noted preferentially for left lateral AP and rarely for posteroseptal or right lateral location. More exceptional (0.1%) was the presence of a long PR interval, which did not exclude a rapid conduction over AP. The association of a complete AV block with symptomatic tachycardias was exceptional (0.3%) and was shown related to a rapid conduction over AP after isoproterenol. Most of the presented patients were at high-risk at EPS. Conclusion: The diagnosis of PS is not always evident and symptoms should draw attention to minor abnormalities and lead to enlarge indications of EPS, only means to confirm or not PS.</div>
</front>
</TEI>
<affiliations><list><country><li>France</li>
</country>
<region><li>Grand Est</li>
<li>Lorraine (région)</li>
</region>
<settlement><li>Nancy</li>
<li>Vandœuvre-lès-Nancy</li>
</settlement>
</list>
<tree><country name="France"><region name="Grand Est"><name sortKey="Brembilla Perrot, Beatrice" sort="Brembilla Perrot, Beatrice" uniqKey="Brembilla Perrot B" first="Béatrice" last="Brembilla-Perrot">Béatrice Brembilla-Perrot</name>
</region>
<name sortKey="Andronache, Marius" sort="Andronache, Marius" uniqKey="Andronache M" first="Marius" last="Andronache">Marius Andronache</name>
<name sortKey="Bassam Al Jouma" sort="Bassam Al Jouma" uniqKey="Bassam Al Jouma" last="Bassam Al Jouma">BASSAM AL JOUMA</name>
<name sortKey="Beurrier, Daniel" sort="Beurrier, Daniel" uniqKey="Beurrier D" first="Daniel" last="Beurrier">Daniel Beurrier</name>
<name sortKey="De Chillou, Christian" sort="De Chillou, Christian" uniqKey="De Chillou C" first="Christian" last="De Chillou">Christian De Chillou</name>
<name sortKey="Girerd, Nicolas" sort="Girerd, Nicolas" uniqKey="Girerd N" first="Nicolas" last="Girerd">Nicolas Girerd</name>
<name sortKey="Manenti, Vladimir" sort="Manenti, Vladimir" uniqKey="Manenti V" first="Vladimir" last="Manenti">Vladimir Manenti</name>
<name sortKey="Olivier, Arnaud" sort="Olivier, Arnaud" uniqKey="Olivier A" first="Arnaud" last="Olivier">Arnaud Olivier</name>
<name sortKey="Sellal, Jean Marc" sort="Sellal, Jean Marc" uniqKey="Sellal J" first="Jean Marc" last="Sellal">Jean Marc Sellal</name>
<name sortKey="Villemin, Thibaut" sort="Villemin, Thibaut" uniqKey="Villemin T" first="Thibaut" last="Villemin">Thibaut Villemin</name>
</country>
</tree>
</affiliations>
</record>

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A case series of patients with poorly-tolerated arrhythmias related to a preexcitation syndrome and presenting with atypical ECG

A case series of patients with poorly-tolerated arrhythmias related to a preexcitation syndrome and presenting with atypical ECG

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