[The natural history of 270 cases of Wolff-Parkinson-White syndrome in a survey of the general population].
Identifieur interne : 005147 ( Main/Exploration ); précédent : 005146; suivant : 005148[The natural history of 270 cases of Wolff-Parkinson-White syndrome in a survey of the general population].
Auteurs : R. Soria [France] ; L. Guize ; J M Chretien ; J Y Le Heuzey ; T. Lavergne ; M. Desnos ; A. Hagege ; Y. GuerreSource :
- Archives des maladies du coeur et des vaisseaux [ 0003-9683 ] ; 1989.
Descripteurs français
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Arrhythmias, Cardiac (physiopathology), Electrocardiography, Female, France, Heart Diseases (physiopathology), Humans, Male, Middle Aged, Population Surveillance, Wolff-Parkinson-White Syndrome (epidemiology), Wolff-Parkinson-White Syndrome (mortality), Wolff-Parkinson-White Syndrome (physiopathology).
- MESH :
- geographic : France.
- epidemiology : Wolff-Parkinson-White Syndrome.
- mortality : Wolff-Parkinson-White Syndrome.
- physiopathology : Arrhythmias, Cardiac, Heart Diseases, Wolff-Parkinson-White Syndrome.
- Adult, Aged, Aged, 80 and over, Electrocardiography, Female, Humans, Male, Middle Aged, Population Surveillance.
Abstract
Among 226,464 ambulatory subjects who underwent medical check-ups over a 15-year period, 270 were found to have Wolff-Parkinson-White syndrome (1.2 case in 1,000). The syndrome was more frequent in men (181 cases, 1.4 p. 1,000) than in women (89 cases, 0.9 p. 1,000). 222 subjects were aged from 20 to 49 years (1.4 p. 1,000) and only 48 were between 50 and 80 years of age (0.7 p. 1,000). 197 subjects were re-evaluated: 119 (60.4 p. 100) complained of palpitations and 78 (39.6 p. 100) were asymptomatic. Palpitations began at all ages, even after 50 years, and usually proceeded in short attacks lasting a few seconds or minutes, with a mean recurrence rate of 5 attacks per annum (76.4 p. 100). This constant pattern sometimes was interrupted for months or years. Conversely, in a minority of cases (23.5 p. 100) an unexpected accentuation occurred which lasted for hours or days. As years went by, palpitations tented to decrease and disappear. The pre-excitation area and its degree of fusion with the normal ventricular activation had no influence on the origin and frequency of palpitations. In contrast, sustained tachycardia seemed to be more frequent in cases with lateral and posterior left pre-excitation. Among 270 subjects with pre-excitation syndrome, 7 died including 4 whose death was not due to a cardiac disease, 2 who died suddenly and 1 who succumbed to ventricular tachycardia after a road accident. None of these patients had an associated heart disease. These last 3 cases might contribute to alter the usually favourable prognosis of Wolff-Parkinson-White syndrome.
PubMed: 2502088
Affiliations:
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Le document en format XML
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Guize</name></author><author><name sortKey="Chretien, J M" sort="Chretien, J M" uniqKey="Chretien J" first="J M" last="Chretien">J M Chretien</name></author><author><name sortKey="Le Heuzey, J Y" sort="Le Heuzey, J Y" uniqKey="Le Heuzey J" first="J Y" last="Le Heuzey">J Y Le Heuzey</name></author><author><name sortKey="Lavergne, T" sort="Lavergne, T" uniqKey="Lavergne T" first="T" last="Lavergne">T. Lavergne</name></author><author><name sortKey="Desnos, M" sort="Desnos, M" uniqKey="Desnos M" first="M" last="Desnos">M. Desnos</name></author><author><name sortKey="Hagege, A" sort="Hagege, A" uniqKey="Hagege A" first="A" last="Hagege">A. Hagege</name></author><author><name sortKey="Guerre, Y" sort="Guerre, Y" uniqKey="Guerre Y" first="Y" last="Guerre">Y. Guerre</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1989">1989</date><idno type="RBID">pubmed:2502088</idno><idno type="pmid">2502088</idno><idno type="wicri:Area/PubMed/Corpus">001848</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001848</idno><idno type="wicri:Area/PubMed/Curation">001807</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001807</idno><idno type="wicri:Area/PubMed/Checkpoint">001807</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001807</idno><idno type="wicri:Area/Ncbi/Merge">001456</idno><idno type="wicri:Area/Ncbi/Curation">001456</idno><idno type="wicri:Area/Ncbi/Checkpoint">001456</idno><idno type="wicri:doubleKey">0003-9683:1989:Soria R:the:natural:history</idno><idno type="wicri:Area/Main/Merge">005C34</idno><idno type="wicri:Area/Main/Curation">005147</idno><idno type="wicri:Area/Main/Exploration">005147</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[The natural history of 270 cases of Wolff-Parkinson-White syndrome in a survey of the general population].</title><author><name sortKey="Soria, R" sort="Soria, R" uniqKey="Soria R" first="R" last="Soria">R. Soria</name><affiliation wicri:level="3"><nlm:affiliation>Service de cardiologie, hôpital Boucicaut, Paris.</nlm:affiliation><country>France</country><placeName><settlement type="city">Paris</settlement><region type="région" nuts="2">Île-de-France</region></placeName><wicri:orgArea>Service de cardiologie, hôpital Boucicaut</wicri:orgArea></affiliation></author><author><name sortKey="Guize, L" sort="Guize, L" uniqKey="Guize L" first="L" last="Guize">L. Guize</name></author><author><name sortKey="Chretien, J M" sort="Chretien, J M" uniqKey="Chretien J" first="J M" last="Chretien">J M Chretien</name></author><author><name sortKey="Le Heuzey, J Y" sort="Le Heuzey, J Y" uniqKey="Le Heuzey J" first="J Y" last="Le Heuzey">J Y Le Heuzey</name></author><author><name sortKey="Lavergne, T" sort="Lavergne, T" uniqKey="Lavergne T" first="T" last="Lavergne">T. Lavergne</name></author><author><name sortKey="Desnos, M" sort="Desnos, M" uniqKey="Desnos M" first="M" last="Desnos">M. Desnos</name></author><author><name sortKey="Hagege, A" sort="Hagege, A" uniqKey="Hagege A" first="A" last="Hagege">A. Hagege</name></author><author><name sortKey="Guerre, Y" sort="Guerre, Y" uniqKey="Guerre Y" first="Y" last="Guerre">Y. Guerre</name></author></analytic><series><title level="j">Archives des maladies du coeur et des vaisseaux</title><idno type="ISSN">0003-9683</idno><imprint><date when="1989" type="published">1989</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Arrhythmias, Cardiac (physiopathology)</term><term>Electrocardiography</term><term>Female</term><term>France</term><term>Heart Diseases (physiopathology)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Population Surveillance</term><term>Wolff-Parkinson-White Syndrome (epidemiology)</term><term>Wolff-Parkinson-White Syndrome (mortality)</term><term>Wolff-Parkinson-White Syndrome (physiopathology)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Arrhythmias, Cardiac</term><term>Heart Diseases</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Electrocardiography</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Population Surveillance</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Among 226,464 ambulatory subjects who underwent medical check-ups over a 15-year period, 270 were found to have Wolff-Parkinson-White syndrome (1.2 case in 1,000). The syndrome was more frequent in men (181 cases, 1.4 p. 1,000) than in women (89 cases, 0.9 p. 1,000). 222 subjects were aged from 20 to 49 years (1.4 p. 1,000) and only 48 were between 50 and 80 years of age (0.7 p. 1,000). 197 subjects were re-evaluated: 119 (60.4 p. 100) complained of palpitations and 78 (39.6 p. 100) were asymptomatic. Palpitations began at all ages, even after 50 years, and usually proceeded in short attacks lasting a few seconds or minutes, with a mean recurrence rate of 5 attacks per annum (76.4 p. 100). This constant pattern sometimes was interrupted for months or years. Conversely, in a minority of cases (23.5 p. 100) an unexpected accentuation occurred which lasted for hours or days. As years went by, palpitations tented to decrease and disappear. The pre-excitation area and its degree of fusion with the normal ventricular activation had no influence on the origin and frequency of palpitations. In contrast, sustained tachycardia seemed to be more frequent in cases with lateral and posterior left pre-excitation. Among 270 subjects with pre-excitation syndrome, 7 died including 4 whose death was not due to a cardiac disease, 2 who died suddenly and 1 who succumbed to ventricular tachycardia after a road accident. None of these patients had an associated heart disease. These last 3 cases might contribute to alter the usually favourable prognosis of Wolff-Parkinson-White syndrome.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><noCountry><name sortKey="Chretien, J M" sort="Chretien, J M" uniqKey="Chretien J" first="J M" last="Chretien">J M Chretien</name><name sortKey="Desnos, M" sort="Desnos, M" uniqKey="Desnos M" first="M" last="Desnos">M. Desnos</name><name sortKey="Guerre, Y" sort="Guerre, Y" uniqKey="Guerre Y" first="Y" last="Guerre">Y. Guerre</name><name sortKey="Guize, L" sort="Guize, L" uniqKey="Guize L" first="L" last="Guize">L. Guize</name><name sortKey="Hagege, A" sort="Hagege, A" uniqKey="Hagege A" first="A" last="Hagege">A. Hagege</name><name sortKey="Lavergne, T" sort="Lavergne, T" uniqKey="Lavergne T" first="T" last="Lavergne">T. Lavergne</name><name sortKey="Le Heuzey, J Y" sort="Le Heuzey, J Y" uniqKey="Le Heuzey J" first="J Y" last="Le Heuzey">J Y Le Heuzey</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Soria, R" sort="Soria, R" uniqKey="Soria R" first="R" last="Soria">R. Soria</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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