Electrophysiological characteristics of asymptomatic Wolff-Parkinson-White syndrome.
Identifieur interne : 001720 ( PubMed/Corpus ); précédent : 001719; suivant : 001721Electrophysiological characteristics of asymptomatic Wolff-Parkinson-White syndrome.
Auteurs : B. Brembilla-Perrot ; R. GhawiSource :
- European heart journal [ 0195-668X ] ; 1993.
English descriptors
- KwdEn :
- Adult, Atrial Fibrillation (diagnosis), Cardiac Pacing, Artificial, Death, Sudden, Cardiac (epidemiology), Death, Sudden, Cardiac (etiology), Electrocardiography, Female, Heart Conduction System (physiopathology), Humans, Male, Prognosis, Prospective Studies, Risk Factors, Tachycardia (diagnosis), Ventricular Fibrillation (diagnosis), Wolff-Parkinson-White Syndrome (diagnosis), Wolff-Parkinson-White Syndrome (epidemiology), Wolff-Parkinson-White Syndrome (physiopathology).
- MESH :
- diagnosis : Atrial Fibrillation, Tachycardia, Ventricular Fibrillation, Wolff-Parkinson-White Syndrome.
- epidemiology : Death, Sudden, Cardiac, Wolff-Parkinson-White Syndrome.
- etiology : Death, Sudden, Cardiac.
- physiopathology : Heart Conduction System, Wolff-Parkinson-White Syndrome.
- Adult, Cardiac Pacing, Artificial, Electrocardiography, Female, Humans, Male, Prognosis, Prospective Studies, Risk Factors.
Abstract
Although most asymptomatic patients with the Wolff-Parkinson-White syndrome have a good prognosis, some die suddenly. Electrophysiological testing may identify patients at possible risk of sudden death. The mechanism of sudden death in these patients is believed to result from ventricular fibrillation due to atrial fibrillation with rapid anterograde conduction over the accessory pathway. Consequently, we performed electrophysiological studies in 40 asymptomatic patients with the Wolff-Parkinson-White syndrome. Certain electrophysiological properties clearly identified these patients: (1) in most patients sustained reciprocating tachycardia could not be induced and this explains the absence of symptoms of regular fast palpitations; (2) the incidence of inducible sustained atrial tachyarrhythmias (30%), of short RR intervals between pre-excited beats (20%) and of risk of sudden death (12.5%) was similar to the incidence in symptomatic patients with the Wolff-Parkinson-White syndrome and reciprocating tachycardia. Because of the ease with which transoesophageal study can be performed we think that the asymptomatic Wolff-Parkinson-White syndrome should be systematically evaluated so as to reassure patients with the benign form that they can lead a normal life and take part in sport and secondly to define the real prognosis of the patients whose characteristics suggests a risk of sudden death.
PubMed: 8472715
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Ghawi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1993">1993</date><idno type="RBID">pubmed:8472715</idno><idno type="pmid">8472715</idno><idno type="wicri:Area/PubMed/Corpus">001720</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001720</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Electrophysiological characteristics of asymptomatic Wolff-Parkinson-White syndrome.</title><author><name sortKey="Brembilla Perrot, B" sort="Brembilla Perrot, B" uniqKey="Brembilla Perrot B" first="B" last="Brembilla-Perrot">B. Brembilla-Perrot</name><affiliation><nlm:affiliation>Cardiologie A, Chu of Brabois, Vandoeuvre, France.</nlm:affiliation></affiliation></author><author><name sortKey="Ghawi, R" sort="Ghawi, R" uniqKey="Ghawi R" first="R" last="Ghawi">R. Ghawi</name></author></analytic><series><title level="j">European heart journal</title><idno type="ISSN">0195-668X</idno><imprint><date when="1993" type="published">1993</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Atrial Fibrillation (diagnosis)</term><term>Cardiac Pacing, Artificial</term><term>Death, Sudden, Cardiac (epidemiology)</term><term>Death, Sudden, Cardiac (etiology)</term><term>Electrocardiography</term><term>Female</term><term>Heart Conduction System (physiopathology)</term><term>Humans</term><term>Male</term><term>Prognosis</term><term>Prospective Studies</term><term>Risk Factors</term><term>Tachycardia (diagnosis)</term><term>Ventricular Fibrillation (diagnosis)</term><term>Wolff-Parkinson-White Syndrome (diagnosis)</term><term>Wolff-Parkinson-White Syndrome (epidemiology)</term><term>Wolff-Parkinson-White Syndrome (physiopathology)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Atrial Fibrillation</term><term>Tachycardia</term><term>Ventricular Fibrillation</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Death, Sudden, Cardiac</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Death, Sudden, Cardiac</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Heart Conduction System</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cardiac Pacing, Artificial</term><term>Electrocardiography</term><term>Female</term><term>Humans</term><term>Male</term><term>Prognosis</term><term>Prospective Studies</term><term>Risk Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Although most asymptomatic patients with the Wolff-Parkinson-White syndrome have a good prognosis, some die suddenly. Electrophysiological testing may identify patients at possible risk of sudden death. The mechanism of sudden death in these patients is believed to result from ventricular fibrillation due to atrial fibrillation with rapid anterograde conduction over the accessory pathway. Consequently, we performed electrophysiological studies in 40 asymptomatic patients with the Wolff-Parkinson-White syndrome. Certain electrophysiological properties clearly identified these patients: (1) in most patients sustained reciprocating tachycardia could not be induced and this explains the absence of symptoms of regular fast palpitations; (2) the incidence of inducible sustained atrial tachyarrhythmias (30%), of short RR intervals between pre-excited beats (20%) and of risk of sudden death (12.5%) was similar to the incidence in symptomatic patients with the Wolff-Parkinson-White syndrome and reciprocating tachycardia. Because of the ease with which transoesophageal study can be performed we think that the asymptomatic Wolff-Parkinson-White syndrome should be systematically evaluated so as to reassure patients with the benign form that they can lead a normal life and take part in sport and secondly to define the real prognosis of the patients whose characteristics suggests a risk of sudden death.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8472715</PMID><DateCreated><Year>1993</Year><Month>05</Month><Day>20</Day></DateCreated><DateCompleted><Year>1993</Year><Month>05</Month><Day>20</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0195-668X</ISSN><JournalIssue CitedMedium="Print"><Volume>14</Volume><Issue>4</Issue><PubDate><Year>1993</Year><Month>Apr</Month></PubDate></JournalIssue><Title>European heart journal</Title><ISOAbbreviation>Eur. Heart J.</ISOAbbreviation></Journal><ArticleTitle>Electrophysiological characteristics of asymptomatic Wolff-Parkinson-White syndrome.</ArticleTitle><Pagination><MedlinePgn>511-5</MedlinePgn></Pagination><Abstract><AbstractText>Although most asymptomatic patients with the Wolff-Parkinson-White syndrome have a good prognosis, some die suddenly. Electrophysiological testing may identify patients at possible risk of sudden death. The mechanism of sudden death in these patients is believed to result from ventricular fibrillation due to atrial fibrillation with rapid anterograde conduction over the accessory pathway. Consequently, we performed electrophysiological studies in 40 asymptomatic patients with the Wolff-Parkinson-White syndrome. Certain electrophysiological properties clearly identified these patients: (1) in most patients sustained reciprocating tachycardia could not be induced and this explains the absence of symptoms of regular fast palpitations; (2) the incidence of inducible sustained atrial tachyarrhythmias (30%), of short RR intervals between pre-excited beats (20%) and of risk of sudden death (12.5%) was similar to the incidence in symptomatic patients with the Wolff-Parkinson-White syndrome and reciprocating tachycardia. Because of the ease with which transoesophageal study can be performed we think that the asymptomatic Wolff-Parkinson-White syndrome should be systematically evaluated so as to reassure patients with the benign form that they can lead a normal life and take part in sport and secondly to define the real prognosis of the patients whose characteristics suggests a risk of sudden death.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Brembilla-Perrot</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Cardiologie A, Chu of Brabois, Vandoeuvre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ghawi</LastName><ForeName>R</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur Heart J</MedlineTA><NlmUniqueID>8006263</NlmUniqueID><ISSNLinking>0195-668X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001281" MajorTopicYN="N">Atrial Fibrillation</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002304" MajorTopicYN="Y">Cardiac Pacing, Artificial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016757" MajorTopicYN="N">Death, Sudden, Cardiac</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004562" MajorTopicYN="N">Electrocardiography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006329" MajorTopicYN="N">Heart Conduction System</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013610" MajorTopicYN="N">Tachycardia</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014693" MajorTopicYN="N">Ventricular Fibrillation</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014927" MajorTopicYN="N">Wolff-Parkinson-White Syndrome</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1993</Year><Month>4</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1993</Year><Month>4</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1993</Year><Month>4</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8472715</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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