[Wolf-Parkinson-White syndrome. Intensive physical activity: the value of fulguration].
Identifieur interne : 001475 ( Ncbi/Checkpoint ); précédent : 001474; suivant : 001476[Wolf-Parkinson-White syndrome. Intensive physical activity: the value of fulguration].
Auteurs : J F Warin [France] ; M. Haissaguerre ; P. Le Métayer ; P. MontserratSource :
- Archives des maladies du coeur et des vaisseaux [ 0003-9683 ] ; 1989.
English descriptors
- KwdEn :
- MESH :
- chemical : Isoproterenol.
- complications : Wolff-Parkinson-White Syndrome.
- etiology : Arrhythmias, Cardiac.
- therapy : Wolff-Parkinson-White Syndrome.
- Electric Countershock, Electrocardiography, Humans, Physical Exertion, Sports.
Abstract
In subjects with Wolff-Parkinson-White syndrome an intense physical activity or the practice of sports may not only trigger off cardiac arrhythmias but also worsen their consequences and become life-threatening. A full electrophysiological study, including measurement of the anterograde refractory period of the accessory pathway, induction of atrial fibrillation and study of the effects of isoprenaline, seems to be indispensable to detect those patients who are most at risk. When the risk of potentially serious arrhythmia appears to be confirmed, catheter ablation of the accessory pathway may be the ideal solution, as it may cure the disease without the sequelae inherent in surgery. The results obtained in 19 athletes or subjects with intense physical activity (19) successes without preventive anti-arrhythmic treatment and at the cost of a single case of asymptomatic atrioventricular block) suggest that the catheter ablation technique will greatly benefit such patients.
PubMed: 2510697
Affiliations:
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pubmed:2510697Le document en format XML
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Le Métayer</name></author><author><name sortKey="Montserrat, P" sort="Montserrat, P" uniqKey="Montserrat P" first="P" last="Montserrat">P. 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Intensive physical activity: the value of fulguration].</title><author><name sortKey="Warin, J F" sort="Warin, J F" uniqKey="Warin J" first="J F" last="Warin">J F Warin</name><affiliation wicri:level="3"><nlm:affiliation>Service de cardiologie, Hôpital Saint-André, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de cardiologie, Hôpital Saint-André, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Haissaguerre, M" sort="Haissaguerre, M" uniqKey="Haissaguerre M" first="M" last="Haissaguerre">M. Haissaguerre</name></author><author><name sortKey="Le Metayer, P" sort="Le Metayer, P" uniqKey="Le Metayer P" first="P" last="Le Métayer">P. Le Métayer</name></author><author><name sortKey="Montserrat, P" sort="Montserrat, P" uniqKey="Montserrat P" first="P" last="Montserrat">P. Montserrat</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>Arrhythmias, Cardiac (etiology)</term><term>Electric Countershock</term><term>Electrocardiography</term><term>Humans</term><term>Isoproterenol</term><term>Physical Exertion</term><term>Sports</term><term>Wolff-Parkinson-White Syndrome (complications)</term><term>Wolff-Parkinson-White Syndrome (therapy)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Isoproterenol</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>Arrhythmias, Cardiac</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Electric Countershock</term><term>Electrocardiography</term><term>Humans</term><term>Physical Exertion</term><term>Sports</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In subjects with Wolff-Parkinson-White syndrome an intense physical activity or the practice of sports may not only trigger off cardiac arrhythmias but also worsen their consequences and become life-threatening. A full electrophysiological study, including measurement of the anterograde refractory period of the accessory pathway, induction of atrial fibrillation and study of the effects of isoprenaline, seems to be indispensable to detect those patients who are most at risk. When the risk of potentially serious arrhythmia appears to be confirmed, catheter ablation of the accessory pathway may be the ideal solution, as it may cure the disease without the sequelae inherent in surgery. The results obtained in 19 athletes or subjects with intense physical activity (19) successes without preventive anti-arrhythmic treatment and at the cost of a single case of asymptomatic atrioventricular block) suggest that the catheter ablation technique will greatly benefit such patients.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Aquitaine</li><li>Nouvelle-Aquitaine</li></region><settlement><li>Bordeaux</li></settlement></list><tree><noCountry><name sortKey="Haissaguerre, M" sort="Haissaguerre, M" uniqKey="Haissaguerre M" first="M" last="Haissaguerre">M. Haissaguerre</name><name sortKey="Le Metayer, P" sort="Le Metayer, P" uniqKey="Le Metayer P" first="P" last="Le Métayer">P. Le Métayer</name><name sortKey="Montserrat, P" sort="Montserrat, P" uniqKey="Montserrat P" first="P" last="Montserrat">P. Montserrat</name></noCountry><country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Warin, J F" sort="Warin, J F" uniqKey="Warin J" first="J F" last="Warin">J F Warin</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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