Natural history of Wolff-Parkinson-White syndrome discovered in infancy
Identifieur interne : 000028 ( Main/Corpus ); précédent : 000027; suivant : 000029Natural history of Wolff-Parkinson-White syndrome discovered in infancy
Auteurs : Michael E. Mantakas ; Carolyn M. Mccue ; William W. MillerSource :
- The American Journal of Cardiology [ 0002-9149 ] ; 1977.
Abstract
The prognosis of 20 infants with a diagnosis of Wolff-Parkinson-White syndrome under 1 year of age is presented. Children were followed up from 1 to 19 years (mean 9 years). Seven patients had associated congenital heart disease. Analysis of the associated arrhythmias revealed episodes of supraventricular tachycardia in 18 (90 percent). During paroxysmal supraventricular tachycardia the QRS complex was normal in seven and wide in nine children. Categorizing patients into groups according to the width of the QRS complex and the presence or absence of a delta wave during tachycardia helps in understanding and planning therapy. Eighteen patients had a stable or improved course with growth but two patients with tetralogy of Fallot died postoperatively with resistant supraventricular tachycardia. The high prevalence rate of supraventricular tachycardia during infancy which later decreases or disappears could be explained by the different electrophysiologic responses between normal and accessory pathways during the fast heart rate characteristic of this young age.Invasive electrophysiologic studies are indicated in children older than 1 year of age who remain symptomatic and in all children being conconsidered for cardiac surgery regardless of the effectiveness of the preoperatlve therapy.
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DOI: 10.1016/0002-9149(78)90863-9
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Mantakas</name><affiliation><mods:affiliation>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</mods:affiliation></affiliation></author><author><name sortKey="Mccue, Carolyn M" sort="Mccue, Carolyn M" uniqKey="Mccue C" first="Carolyn M." last="Mccue">Carolyn M. Mccue</name><affiliation><mods:affiliation>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</mods:affiliation></affiliation></author><author><name sortKey="Miller, William W" sort="Miller, William W" uniqKey="Miller W" first="William W." last="Miller">William W. Miller</name><affiliation><mods:affiliation>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="ISSN">0002-9149</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1977">1977</date><biblScope unit="volume">41</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1097">1097</biblScope><biblScope unit="page" to="1103">1103</biblScope></imprint><idno type="ISSN">0002-9149</idno></series><idno type="istex">181D6FAD6B4F14C63ED14A388D68D4A9881EBCC3</idno><idno type="DOI">10.1016/0002-9149(78)90863-9</idno><idno type="PII">0002-9149(78)90863-9</idno><idno type="ArticleID">78908639</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-9149</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The prognosis of 20 infants with a diagnosis of Wolff-Parkinson-White syndrome under 1 year of age is presented. Children were followed up from 1 to 19 years (mean 9 years). Seven patients had associated congenital heart disease. Analysis of the associated arrhythmias revealed episodes of supraventricular tachycardia in 18 (90 percent). During paroxysmal supraventricular tachycardia the QRS complex was normal in seven and wide in nine children. Categorizing patients into groups according to the width of the QRS complex and the presence or absence of a delta wave during tachycardia helps in understanding and planning therapy. Eighteen patients had a stable or improved course with growth but two patients with tetralogy of Fallot died postoperatively with resistant supraventricular tachycardia. The high prevalence rate of supraventricular tachycardia during infancy which later decreases or disappears could be explained by the different electrophysiologic responses between normal and accessory pathways during the fast heart rate characteristic of this young age.Invasive electrophysiologic studies are indicated in children older than 1 year of age who remain symptomatic and in all children being conconsidered for cardiac surgery regardless of the effectiveness of the preoperatlve therapy.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Michael E. Mantakas MD</name><affiliations><json:string>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</json:string></affiliations></json:item><json:item><name>Carolyn M. McCue MD, FACC</name><affiliations><json:string>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</json:string></affiliations></json:item><json:item><name>William W. Miller MD, FACC</name><affiliations><json:string>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</json:string></affiliations></json:item></author><articleId><json:string>78908639</json:string></articleId><language><json:string>eng</json:string></language><abstract>The prognosis of 20 infants with a diagnosis of Wolff-Parkinson-White syndrome under 1 year of age is presented. Children were followed up from 1 to 19 years (mean 9 years). Seven patients had associated congenital heart disease. Analysis of the associated arrhythmias revealed episodes of supraventricular tachycardia in 18 (90 percent). During paroxysmal supraventricular tachycardia the QRS complex was normal in seven and wide in nine children. Categorizing patients into groups according to the width of the QRS complex and the presence or absence of a delta wave during tachycardia helps in understanding and planning therapy. Eighteen patients had a stable or improved course with growth but two patients with tetralogy of Fallot died postoperatively with resistant supraventricular tachycardia. The high prevalence rate of supraventricular tachycardia during infancy which later decreases or disappears could be explained by the different electrophysiologic responses between normal and accessory pathways during the fast heart rate characteristic of this young age.Invasive electrophysiologic studies are indicated in children older than 1 year of age who remain symptomatic and in all children being conconsidered for cardiac surgery regardless of the effectiveness of the preoperatlve therapy.</abstract><qualityIndicators><score>5.582</score><pdfVersion>1.4</pdfVersion><pdfPageSize>612 x 828 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>1304</abstractCharCount><pdfWordCount>2826</pdfWordCount><pdfCharCount>20670</pdfCharCount><pdfPageCount>7</pdfPageCount><abstractWordCount>188</abstractWordCount></qualityIndicators><title>Natural history of Wolff-Parkinson-White syndrome discovered in infancy</title><pii><json:string>0002-9149(78)90863-9</json:string></pii><genre><json:string>research-article</json:string></genre><host><volume>41</volume><pii><json:string>S0002-9149(00)X0438-9</json:string></pii><pages><last>1103</last><first>1097</first></pages><issn><json:string>0002-9149</json:string></issn><issue>6</issue><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><title>The American Journal of Cardiology</title><publicationDate>1978</publicationDate></host><publicationDate>1977</publicationDate><copyrightDate>1978</copyrightDate><doi><json:string>10.1016/0002-9149(78)90863-9</json:string></doi><id>181D6FAD6B4F14C63ED14A388D68D4A9881EBCC3</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/181D6FAD6B4F14C63ED14A388D68D4A9881EBCC3/fulltext/pdf</uri></json:item><json:item><original>true</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/181D6FAD6B4F14C63ED14A388D68D4A9881EBCC3/fulltext/txt</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/181D6FAD6B4F14C63ED14A388D68D4A9881EBCC3/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/181D6FAD6B4F14C63ED14A388D68D4A9881EBCC3/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Natural history of Wolff-Parkinson-White syndrome discovered in infancy</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>ELSEVIER</p></availability><date>1978</date></publicationStmt><notesStmt><note type="content">Section title: Pediatric cardiology</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Natural history of Wolff-Parkinson-White syndrome discovered in infancy</title><author><persName><forename type="first">Michael E.</forename><surname>Mantakas</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</affiliation></author><author><persName><forename type="first">Carolyn M.</forename><surname>McCue</surname></persName><roleName type="degree">MD, FACC</roleName><note type="biography">Address for reprints: Carolyn M. McCue, MD, Box 272, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia 23298.</note><affiliation>Address for reprints: Carolyn M. McCue, MD, Box 272, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia 23298.</affiliation><affiliation>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</affiliation></author><author><persName><forename type="first">William W.</forename><surname>Miller</surname></persName><roleName type="degree">MD, FACC</roleName><affiliation>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</affiliation></author></analytic><monogr><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="pISSN">0002-9149</idno><idno type="PII">S0002-9149(00)X0438-9</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1977"></date><biblScope unit="volume">41</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1097">1097</biblScope><biblScope unit="page" to="1103">1103</biblScope></imprint></monogr><idno type="istex">181D6FAD6B4F14C63ED14A388D68D4A9881EBCC3</idno><idno type="DOI">10.1016/0002-9149(78)90863-9</idno><idno type="PII">0002-9149(78)90863-9</idno><idno type="ArticleID">78908639</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1978</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>The prognosis of 20 infants with a diagnosis of Wolff-Parkinson-White syndrome under 1 year of age is presented. Children were followed up from 1 to 19 years (mean 9 years). Seven patients had associated congenital heart disease. Analysis of the associated arrhythmias revealed episodes of supraventricular tachycardia in 18 (90 percent). During paroxysmal supraventricular tachycardia the QRS complex was normal in seven and wide in nine children. Categorizing patients into groups according to the width of the QRS complex and the presence or absence of a delta wave during tachycardia helps in understanding and planning therapy. Eighteen patients had a stable or improved course with growth but two patients with tetralogy of Fallot died postoperatively with resistant supraventricular tachycardia. The high prevalence rate of supraventricular tachycardia during infancy which later decreases or disappears could be explained by the different electrophysiologic responses between normal and accessory pathways during the fast heart rate characteristic of this young age.Invasive electrophysiologic studies are indicated in children older than 1 year of age who remain symptomatic and in all children being conconsidered for cardiac surgery regardless of the effectiveness of the preoperatlve therapy.</p></abstract></profileDesc><revisionDesc><change when="1977-11-30">Registration</change><change when="1977-11-21">Modified</change><change when="1977">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla" xml:lang="en"><item-info><jid>AJC</jid><aid>78908639</aid><ce:pii>0002-9149(78)90863-9</ce:pii><ce:doi>10.1016/0002-9149(78)90863-9</ce:doi><ce:copyright type="unknown" year="1978"></ce:copyright></item-info><head><ce:dochead><ce:textfn>Pediatric cardiology</ce:textfn></ce:dochead><ce:title>Natural history of Wolff-Parkinson-White syndrome discovered in infancy</ce:title><ce:author-group><ce:author><ce:given-name>Michael E.</ce:given-name><ce:surname>Mantakas</ce:surname><ce:degrees>MD</ce:degrees></ce:author><ce:author><ce:given-name>Carolyn M.</ce:given-name><ce:surname>McCue</ce:surname><ce:degrees>MD, FACC</ce:degrees><ce:cross-ref refid="COR1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>William W.</ce:given-name><ce:surname>Miller</ce:surname><ce:degrees>MD, FACC</ce:degrees></ce:author><ce:affiliation><ce:textfn>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</ce:textfn></ce:affiliation><ce:correspondence id="COR1"><ce:label>∗</ce:label><ce:text>Address for reprints: Carolyn M. McCue, MD, Box 272, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia 23298.</ce:text></ce:correspondence></ce:author-group><ce:date-received day="18" month="7" year="1977"></ce:date-received><ce:date-revised day="21" month="11" year="1977"></ce:date-revised><ce:date-accepted day="30" month="11" year="1977"></ce:date-accepted><ce:abstract class="author"><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para view="all" id="simple-para.0010">The prognosis of 20 infants with a diagnosis of Wolff-Parkinson-White syndrome under 1 year of age is presented. Children were followed up from 1 to 19 years (mean 9 years). Seven patients had associated congenital heart disease. Analysis of the associated arrhythmias revealed episodes of supraventricular tachycardia in 18 (90 percent). During paroxysmal supraventricular tachycardia the QRS complex was normal in seven and wide in nine children. Categorizing patients into groups according to the width of the QRS complex and the presence or absence of a delta wave during tachycardia helps in understanding and planning therapy. Eighteen patients had a stable or improved course with growth but two patients with tetralogy of Fallot died postoperatively with resistant supraventricular tachycardia. The high prevalence rate of supraventricular tachycardia during infancy which later decreases or disappears could be explained by the different electrophysiologic responses between normal and accessory pathways during the fast heart rate characteristic of this young age.</ce:simple-para><ce:simple-para view="all" id="simple-para.0015">Invasive electrophysiologic studies are indicated in children older than 1 year of age who remain symptomatic and in all children being conconsidered for cardiac surgery regardless of the effectiveness of the preoperatlve therapy.</ce:simple-para></ce:abstract-sec></ce:abstract></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Natural history of Wolff-Parkinson-White syndrome discovered in infancy</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Natural history of Wolff-Parkinson-White syndrome discovered in infancy</title></titleInfo><name type="personal"><namePart type="given">Michael E.</namePart><namePart type="family">Mantakas</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Carolyn M.</namePart><namePart type="family">McCue</namePart><namePart type="termsOfAddress">MD, FACC</namePart><affiliation>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</affiliation><description>Address for reprints: Carolyn M. McCue, MD, Box 272, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia 23298.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">William W.</namePart><namePart type="family">Miller</namePart><namePart type="termsOfAddress">MD, FACC</namePart><affiliation>From the Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1977</dateIssued><dateValid encoding="w3cdtf">1977-11-30</dateValid><dateModified encoding="w3cdtf">1977-11-21</dateModified><copyrightDate encoding="w3cdtf">1978</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">The prognosis of 20 infants with a diagnosis of Wolff-Parkinson-White syndrome under 1 year of age is presented. Children were followed up from 1 to 19 years (mean 9 years). Seven patients had associated congenital heart disease. Analysis of the associated arrhythmias revealed episodes of supraventricular tachycardia in 18 (90 percent). During paroxysmal supraventricular tachycardia the QRS complex was normal in seven and wide in nine children. Categorizing patients into groups according to the width of the QRS complex and the presence or absence of a delta wave during tachycardia helps in understanding and planning therapy. Eighteen patients had a stable or improved course with growth but two patients with tetralogy of Fallot died postoperatively with resistant supraventricular tachycardia. The high prevalence rate of supraventricular tachycardia during infancy which later decreases or disappears could be explained by the different electrophysiologic responses between normal and accessory pathways during the fast heart rate characteristic of this young age.Invasive electrophysiologic studies are indicated in children older than 1 year of age who remain symptomatic and in all children being conconsidered for cardiac surgery regardless of the effectiveness of the preoperatlve therapy.</abstract><note type="content">Section title: Pediatric cardiology</note><relatedItem type="host"><titleInfo><title>The American Journal of Cardiology</title></titleInfo><titleInfo type="abbreviated"><title>AJC</title></titleInfo><genre type="Journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">19780522</dateIssued></originInfo><identifier type="ISSN">0002-9149</identifier><identifier type="PII">S0002-9149(00)X0438-9</identifier><part><date>19780522</date><detail type="issue"><title>Symposium on New Aspects of Antiarrhythmic Therapy</title></detail><detail type="volume"><number>41</number><caption>vol.</caption></detail><detail type="issue"><number>6</number><caption>no.</caption></detail><extent unit="issue pages"><start>A20</start><end>A28</end></extent><extent unit="issue pages"><start>A3</start><end>A17</end></extent><extent unit="issue pages"><start>A30</start><end>A42</end></extent><extent unit="issue pages"><start>975</start><end>1126</end></extent><extent unit="pages"><start>1097</start><end>1103</end></extent></part></relatedItem><identifier type="istex">181D6FAD6B4F14C63ED14A388D68D4A9881EBCC3</identifier><identifier type="DOI">10.1016/0002-9149(78)90863-9</identifier><identifier type="PII">0002-9149(78)90863-9</identifier><identifier type="ArticleID">78908639</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata><enrichments><istex:refBibTEI uri="https://api.istex.fr/document/181D6FAD6B4F14C63ED14A388D68D4A9881EBCC3/enrichments/refBib"><teiHeader></teiHeader><text><front></front><body></body><back><listBibl><biblStruct><monogr><title level="m" type="main">Wolff-Parkinson-White syndrome. 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