Rapid and low-cost method to prove the nature of no documented tachycardia in children and teenagers without pre-excitation syndrome.
Identifieur interne : 000B29 ( PubMed/Curation ); précédent : 000B28; suivant : 000B30Rapid and low-cost method to prove the nature of no documented tachycardia in children and teenagers without pre-excitation syndrome.
Auteurs : Béatrice Brembilla-Perrot [France] ; Laurent Groben ; Frédéric Chometon ; Jean Paul Lethor ; Philippe Admant ; Jean Louis Cloez ; Irina Popescu ; Cecile Marchal ; Juanico Cedano ; Ahmed Abdelaal ; Olivier Huttin ; Charif Tatar ; Nacima Benzaghou ; Berivan Azman ; Arnaud Terrier De La Chaise ; François MarçonSource :
- Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology [ 1532-2092 ] ; 2009.
English descriptors
- KwdEn :
- Adolescent, Child, Electrophysiologic Techniques, Cardiac (methods), Electrophysiologic Techniques, Cardiac (trends), Humans, Mass Screening (methods), Pre-Excitation Syndromes (diagnosis), Reproducibility of Results, Sensitivity and Specificity, Tachycardia, Ventricular (diagnosis), Tachycardia, Ventricular (prevention & control).
- MESH :
- diagnosis : Pre-Excitation Syndromes, Tachycardia, Ventricular.
- methods : Electrophysiologic Techniques, Cardiac, Mass Screening.
- prevention & control : Tachycardia, Ventricular.
- trends : Electrophysiologic Techniques, Cardiac.
- Adolescent, Child, Humans, Reproducibility of Results, Sensitivity and Specificity.
Abstract
Aims Symptoms in children are often difficult to interpret. The purpose of this study was to report the results of transoesophageal electrophysiological study (EPS) performed in children complaining of sudden onset tachycardia with normal non-invasive studies. Methods and results Eighty-two children and teenagers (mean age 15 +/- 3 years) presented with suspected but no documented paroxysmal supraventricular tachycardia (SVT). ECG was normal. Non-invasive studies were negative; 23 children had syncope with tachycardias. They underwent transoesophageal EPS in our out-patient clinic. The mean duration of transoesophageal EPS was 11 +/- 5 min. Electrophysiological study was negative in 25 children. AV nodal re-entrant tachycardia could be induced in 37 children, 11 of them associated with syncope. Wolff-Parkinson-White syndrome (WPW) was diagnosed in five children in which atrioventricular re-entrant tachycardia was inducible. Atrioventricular re-entrant tachycardia due to a concealed AP was induced in 14 children. Verapamil-sensitive ventricular tachycardia was induced in one patient. Factors associated with tachycardia inducibility were an older age (15.5 +/- 2 vs. 14 +/- 4 years) (P < 0.05) and the absence of syncope (81 vs. 52%) (P < 0.05). During a mean follow-up of 3 +/- 1 year, no patient with negative EPS developed documented tachycardia. In 17 children with inducible SVT, radiofrequency ablation of the re-entrant circuit was subsequently performed. Conclusion Transoesophageal EPS is a fast method for proving the nature of paroxysmal tachycardia in children and teenagers presenting with normal ECG and for demonstrating WPW syndrome not visible on standard ECG. The negative predictive value of transoesophageal EPS for the diagnosis of SVT was 100%.
DOI: 10.1093/europace/eup093
PubMed: 19395417
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Chometon</name></author><author><name sortKey="Lethor, Jean Paul" sort="Lethor, Jean Paul" uniqKey="Lethor J" first="Jean Paul" last="Lethor">Jean Paul Lethor</name></author><author><name sortKey="Admant, Philippe" sort="Admant, Philippe" uniqKey="Admant P" first="Philippe" last="Admant">Philippe Admant</name></author><author><name sortKey="Cloez, Jean Louis" sort="Cloez, Jean Louis" uniqKey="Cloez J" first="Jean Louis" last="Cloez">Jean Louis Cloez</name></author><author><name sortKey="Popescu, Irina" sort="Popescu, Irina" uniqKey="Popescu I" first="Irina" last="Popescu">Irina Popescu</name></author><author><name sortKey="Marchal, Cecile" sort="Marchal, Cecile" uniqKey="Marchal C" first="Cecile" last="Marchal">Cecile Marchal</name></author><author><name sortKey="Cedano, Juanico" sort="Cedano, Juanico" uniqKey="Cedano J" first="Juanico" last="Cedano">Juanico Cedano</name></author><author><name sortKey="Abdelaal, Ahmed" sort="Abdelaal, Ahmed" uniqKey="Abdelaal A" first="Ahmed" 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b.brembilla-perrot@chu-nancy.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of cardiology, CHU of Brabois, 54500 Vandoeuvre</wicri:regionArea></affiliation></author><author><name sortKey="Groben, Laurent" sort="Groben, Laurent" uniqKey="Groben L" first="Laurent" last="Groben">Laurent Groben</name></author><author><name sortKey="Chometon, Frederic" sort="Chometon, Frederic" uniqKey="Chometon F" first="Frédéric" last="Chometon">Frédéric Chometon</name></author><author><name sortKey="Lethor, Jean Paul" sort="Lethor, Jean Paul" uniqKey="Lethor J" first="Jean Paul" last="Lethor">Jean Paul Lethor</name></author><author><name sortKey="Admant, Philippe" sort="Admant, Philippe" uniqKey="Admant P" first="Philippe" last="Admant">Philippe Admant</name></author><author><name sortKey="Cloez, Jean Louis" sort="Cloez, Jean Louis" uniqKey="Cloez J" first="Jean Louis" last="Cloez">Jean Louis Cloez</name></author><author><name sortKey="Popescu, Irina" sort="Popescu, Irina" uniqKey="Popescu I" first="Irina" last="Popescu">Irina Popescu</name></author><author><name sortKey="Marchal, Cecile" sort="Marchal, Cecile" uniqKey="Marchal C" first="Cecile" last="Marchal">Cecile Marchal</name></author><author><name sortKey="Cedano, Juanico" sort="Cedano, Juanico" uniqKey="Cedano J" first="Juanico" last="Cedano">Juanico Cedano</name></author><author><name sortKey="Abdelaal, Ahmed" sort="Abdelaal, Ahmed" uniqKey="Abdelaal A" first="Ahmed" last="Abdelaal">Ahmed Abdelaal</name></author><author><name sortKey="Huttin, Olivier" sort="Huttin, Olivier" uniqKey="Huttin O" first="Olivier" last="Huttin">Olivier Huttin</name></author><author><name sortKey="Tatar, Charif" sort="Tatar, Charif" uniqKey="Tatar C" first="Charif" last="Tatar">Charif Tatar</name></author><author><name sortKey="Benzaghou, Nacima" sort="Benzaghou, Nacima" uniqKey="Benzaghou N" first="Nacima" last="Benzaghou">Nacima Benzaghou</name></author><author><name sortKey="Azman, Berivan" sort="Azman, Berivan" uniqKey="Azman B" first="Berivan" last="Azman">Berivan Azman</name></author><author><name sortKey="Terrier De La Chaise, Arnaud" sort="Terrier De La Chaise, Arnaud" uniqKey="Terrier De La Chaise A" first="Arnaud" last="Terrier De La Chaise">Arnaud Terrier De La Chaise</name></author><author><name sortKey="Marcon, Francois" sort="Marcon, Francois" uniqKey="Marcon F" first="François" last="Marçon">François Marçon</name></author></analytic><series><title level="j">Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology</title><idno type="eISSN">1532-2092</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Electrophysiologic Techniques, Cardiac (methods)</term><term>Electrophysiologic Techniques, Cardiac (trends)</term><term>Humans</term><term>Mass Screening (methods)</term><term>Pre-Excitation Syndromes (diagnosis)</term><term>Reproducibility of Results</term><term>Sensitivity and Specificity</term><term>Tachycardia, Ventricular (diagnosis)</term><term>Tachycardia, Ventricular (prevention & control)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Pre-Excitation Syndromes</term><term>Tachycardia, Ventricular</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electrophysiologic Techniques, Cardiac</term><term>Mass Screening</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Tachycardia, Ventricular</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Electrophysiologic Techniques, Cardiac</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Humans</term><term>Reproducibility of Results</term><term>Sensitivity and Specificity</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aims Symptoms in children are often difficult to interpret. The purpose of this study was to report the results of transoesophageal electrophysiological study (EPS) performed in children complaining of sudden onset tachycardia with normal non-invasive studies. Methods and results Eighty-two children and teenagers (mean age 15 +/- 3 years) presented with suspected but no documented paroxysmal supraventricular tachycardia (SVT). ECG was normal. Non-invasive studies were negative; 23 children had syncope with tachycardias. They underwent transoesophageal EPS in our out-patient clinic. The mean duration of transoesophageal EPS was 11 +/- 5 min. Electrophysiological study was negative in 25 children. AV nodal re-entrant tachycardia could be induced in 37 children, 11 of them associated with syncope. Wolff-Parkinson-White syndrome (WPW) was diagnosed in five children in which atrioventricular re-entrant tachycardia was inducible. Atrioventricular re-entrant tachycardia due to a concealed AP was induced in 14 children. Verapamil-sensitive ventricular tachycardia was induced in one patient. Factors associated with tachycardia inducibility were an older age (15.5 +/- 2 vs. 14 +/- 4 years) (P < 0.05) and the absence of syncope (81 vs. 52%) (P < 0.05). During a mean follow-up of 3 +/- 1 year, no patient with negative EPS developed documented tachycardia. In 17 children with inducible SVT, radiofrequency ablation of the re-entrant circuit was subsequently performed. Conclusion Transoesophageal EPS is a fast method for proving the nature of paroxysmal tachycardia in children and teenagers presenting with normal ECG and for demonstrating WPW syndrome not visible on standard ECG. The negative predictive value of transoesophageal EPS for the diagnosis of SVT was 100%.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19395417</PMID><DateCreated><Year>2009</Year><Month>07</Month><Day>28</Day></DateCreated><DateCompleted><Year>2009</Year><Month>10</Month><Day>08</Day></DateCompleted><DateRevised><Year>2009</Year><Month>07</Month><Day>28</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2092</ISSN><JournalIssue CitedMedium="Internet"><Volume>11</Volume><Issue>8</Issue><PubDate><Year>2009</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology</Title><ISOAbbreviation>Europace</ISOAbbreviation></Journal><ArticleTitle>Rapid and low-cost method to prove the nature of no documented tachycardia in children and teenagers without pre-excitation syndrome.</ArticleTitle><Pagination><MedlinePgn>1083-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/europace/eup093</ELocationID><Abstract><AbstractText>Aims Symptoms in children are often difficult to interpret. The purpose of this study was to report the results of transoesophageal electrophysiological study (EPS) performed in children complaining of sudden onset tachycardia with normal non-invasive studies. Methods and results Eighty-two children and teenagers (mean age 15 +/- 3 years) presented with suspected but no documented paroxysmal supraventricular tachycardia (SVT). ECG was normal. Non-invasive studies were negative; 23 children had syncope with tachycardias. They underwent transoesophageal EPS in our out-patient clinic. The mean duration of transoesophageal EPS was 11 +/- 5 min. Electrophysiological study was negative in 25 children. AV nodal re-entrant tachycardia could be induced in 37 children, 11 of them associated with syncope. Wolff-Parkinson-White syndrome (WPW) was diagnosed in five children in which atrioventricular re-entrant tachycardia was inducible. Atrioventricular re-entrant tachycardia due to a concealed AP was induced in 14 children. Verapamil-sensitive ventricular tachycardia was induced in one patient. Factors associated with tachycardia inducibility were an older age (15.5 +/- 2 vs. 14 +/- 4 years) (P < 0.05) and the absence of syncope (81 vs. 52%) (P < 0.05). During a mean follow-up of 3 +/- 1 year, no patient with negative EPS developed documented tachycardia. In 17 children with inducible SVT, radiofrequency ablation of the re-entrant circuit was subsequently performed. Conclusion Transoesophageal EPS is a fast method for proving the nature of paroxysmal tachycardia in children and teenagers presenting with normal ECG and for demonstrating WPW syndrome not visible on standard ECG. The negative predictive value of transoesophageal EPS for the diagnosis of SVT was 100%.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Brembilla-Perrot</LastName><ForeName>Béatrice</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of cardiology, CHU of Brabois, 54500 Vandoeuvre, France. b.brembilla-perrot@chu-nancy.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Groben</LastName><ForeName>Laurent</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Chometon</LastName><ForeName>Frédéric</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Lethor</LastName><ForeName>Jean Paul</ForeName><Initials>JP</Initials></Author><Author ValidYN="Y"><LastName>Admant</LastName><ForeName>Philippe</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Cloez</LastName><ForeName>Jean Louis</ForeName><Initials>JL</Initials></Author><Author ValidYN="Y"><LastName>Popescu</LastName><ForeName>Irina</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Marchal</LastName><ForeName>Cecile</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Cedano</LastName><ForeName>Juanico</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Abdelaal</LastName><ForeName>Ahmed</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Huttin</LastName><ForeName>Olivier</ForeName><Initials>O</Initials></Author><Author ValidYN="Y"><LastName>Tatar</LastName><ForeName>Charif</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Benzaghou</LastName><ForeName>Nacima</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Azman</LastName><ForeName>Berivan</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Terrier De La Chaise</LastName><ForeName>Arnaud</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Marçon</LastName><ForeName>François</ForeName><Initials>F</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2009</Year><Month>04</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Europace</MedlineTA><NlmUniqueID>100883649</NlmUniqueID><ISSNLinking>1099-5129</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Europace. 2009 Aug;11(8):987-8</RefSource><PMID Version="1">19589792</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D022062" MajorTopicYN="N">Electrophysiologic Techniques, Cardiac</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName><QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008403" MajorTopicYN="N">Mass Screening</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011226" MajorTopicYN="N">Pre-Excitation Syndromes</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012680" MajorTopicYN="N">Sensitivity and Specificity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017180" MajorTopicYN="N">Tachycardia, Ventricular</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>4</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>4</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>10</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19395417</ArticleId><ArticleId IdType="pii">eup093</ArticleId><ArticleId IdType="doi">10.1093/europace/eup093</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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