Wolff-Parkinson-White syndrome in the neonate
Identifieur interne : 000103 ( Main/Corpus ); précédent : 000102; suivant : 000104Wolff-Parkinson-White syndrome in the neonate
Auteurs : Grace S. Wolff ; Jaok Han ; Joel CurranSource :
- The American Journal of Cardiology [ 0002-9149 ] ; 1977.
Abstract
Of 16 infants who presented with paroxysmal supraventricular tachycardia in the neonatal period, 50 percent had an electrocardiographc pattern consistent with Wolff-Parkinson-White conduction, type A. It is suggested that infants have bypass pathways similar to or identical with a Kent pathway as part of normal maturation. Infants with paroxysmal supraventricular tachycardia have electrically active bypass tracts but these are documented in only about one half of the patients because of the short duration of recordings or because of concealment (the bypass tract conducts only in retrograde fashion). The activity of these pathways is enhanced by the predominant cholinergic innervation of the neonatal heart. Resolution of the arrhythmias and the Wolff-Parkinson-White pattern in most patients occurs because of anatomic maturation of the conduction tissue, development of adrenergic innervation and a decrease in cholinergic dominance. In some children, maturation is incomplete and the bypass fibers remain quiescent or become active under certain circumstances such as those associated with increased autonomic discharge. Extended surveillance is recommended for all infants who present with paroxysmal supraventricular tachycardia and the Wolff-Parkinson-White pattern.
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DOI: 10.1016/0002-9149(78)90015-2
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Wolff</name><affiliation><mods:affiliation>From the Department of Pediatrics (Pediatric Cardiology), Albany Medical Center Hospital, Albany, New York USA</mods:affiliation></affiliation></author><author><name sortKey="Han, Jaok" sort="Han, Jaok" uniqKey="Han J" first="Jaok" last="Han">Jaok Han</name><affiliation><mods:affiliation>From the Department of Medicine (Cardiology), Albany Medical Center Hospital, Albany, New York USA</mods:affiliation></affiliation></author><author><name sortKey="Curran, Joel" sort="Curran, Joel" uniqKey="Curran J" first="Joel" last="Curran">Joel Curran</name><affiliation><mods:affiliation>From the Department of Pediatrics, Berkshire Medical Center, Pittsfield, Massachusetts USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:B78B052A70C52C779598B977C9598E9E05A883F2</idno><date when="1978" year="1978">1978</date><idno type="doi">10.1016/0002-9149(78)90015-2</idno><idno type="url">https://api.istex.fr/document/B78B052A70C52C779598B977C9598E9E05A883F2/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000103</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Wolff-Parkinson-White syndrome in the neonate</title><author><name sortKey="Wolff, Grace S" sort="Wolff, Grace S" uniqKey="Wolff G" first="Grace S." last="Wolff">Grace S. Wolff</name><affiliation><mods:affiliation>From the Department of Pediatrics (Pediatric Cardiology), Albany Medical Center Hospital, Albany, New York USA</mods:affiliation></affiliation></author><author><name sortKey="Han, Jaok" sort="Han, Jaok" uniqKey="Han J" first="Jaok" last="Han">Jaok Han</name><affiliation><mods:affiliation>From the Department of Medicine (Cardiology), Albany Medical Center Hospital, Albany, New York USA</mods:affiliation></affiliation></author><author><name sortKey="Curran, Joel" sort="Curran, Joel" uniqKey="Curran J" first="Joel" last="Curran">Joel Curran</name><affiliation><mods:affiliation>From the Department of Pediatrics, Berkshire Medical Center, Pittsfield, Massachusetts 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">3</biblScope><biblScope unit="page" from="559">559</biblScope><biblScope unit="page" to="563">563</biblScope></imprint><idno type="ISSN">0002-9149</idno></series><idno type="istex">B78B052A70C52C779598B977C9598E9E05A883F2</idno><idno type="DOI">10.1016/0002-9149(78)90015-2</idno><idno type="PII">0002-9149(78)90015-2</idno><idno type="ArticleID">78900152</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">Of 16 infants who presented with paroxysmal supraventricular tachycardia in the neonatal period, 50 percent had an electrocardiographc pattern consistent with Wolff-Parkinson-White conduction, type A. It is suggested that infants have bypass pathways similar to or identical with a Kent pathway as part of normal maturation. Infants with paroxysmal supraventricular tachycardia have electrically active bypass tracts but these are documented in only about one half of the patients because of the short duration of recordings or because of concealment (the bypass tract conducts only in retrograde fashion). The activity of these pathways is enhanced by the predominant cholinergic innervation of the neonatal heart. Resolution of the arrhythmias and the Wolff-Parkinson-White pattern in most patients occurs because of anatomic maturation of the conduction tissue, development of adrenergic innervation and a decrease in cholinergic dominance. In some children, maturation is incomplete and the bypass fibers remain quiescent or become active under certain circumstances such as those associated with increased autonomic discharge. Extended surveillance is recommended for all infants who present with paroxysmal supraventricular tachycardia and the Wolff-Parkinson-White pattern.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Grace S. Wolff MD, FACC</name><affiliations><json:string>From the Department of Pediatrics (Pediatric Cardiology), Albany Medical Center Hospital, Albany, New York USA</json:string></affiliations></json:item><json:item><name>Jaok Han MD, PhD, FACC</name><affiliations><json:string>From the Department of Medicine (Cardiology), Albany Medical Center Hospital, Albany, New York USA</json:string></affiliations></json:item><json:item><name>Joel Curran MD</name><affiliations><json:string>From the Department of Pediatrics, Berkshire Medical Center, Pittsfield, Massachusetts USA</json:string></affiliations></json:item></author><articleId><json:string>78900152</json:string></articleId><language><json:string>eng</json:string></language><abstract>Of 16 infants who presented with paroxysmal supraventricular tachycardia in the neonatal period, 50 percent had an electrocardiographc pattern consistent with Wolff-Parkinson-White conduction, type A. It is suggested that infants have bypass pathways similar to or identical with a Kent pathway as part of normal maturation. Infants with paroxysmal supraventricular tachycardia have electrically active bypass tracts but these are documented in only about one half of the patients because of the short duration of recordings or because of concealment (the bypass tract conducts only in retrograde fashion). The activity of these pathways is enhanced by the predominant cholinergic innervation of the neonatal heart. Resolution of the arrhythmias and the Wolff-Parkinson-White pattern in most patients occurs because of anatomic maturation of the conduction tissue, development of adrenergic innervation and a decrease in cholinergic dominance. In some children, maturation is incomplete and the bypass fibers remain quiescent or become active under certain circumstances such as those associated with increased autonomic discharge. 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Wolff, MD, Department of Pediatrics (Pediatric Cardiology), University of Miami School of Medicine, Miami, Florida 33152.</note><affiliation>Present address and address for reprints: Grace S. Wolff, MD, Department of Pediatrics (Pediatric Cardiology), University of Miami School of Medicine, Miami, Florida 33152.</affiliation><affiliation>From the Department of Pediatrics (Pediatric Cardiology), Albany Medical Center Hospital, Albany, New York USA</affiliation></author><author><persName><forename type="first">Jaok</forename><surname>Han</surname></persName><roleName type="degree">MD, PhD, FACC</roleName><affiliation>From the Department of Medicine (Cardiology), Albany Medical Center Hospital, Albany, New York USA</affiliation></author><author><persName><forename type="first">Joel</forename><surname>Curran</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Department of Pediatrics, Berkshire Medical Center, Pittsfield, Massachusetts 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)X0427-4</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1977"></date><biblScope unit="volume">41</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="559">559</biblScope><biblScope unit="page" to="563">563</biblScope></imprint></monogr><idno type="istex">B78B052A70C52C779598B977C9598E9E05A883F2</idno><idno type="DOI">10.1016/0002-9149(78)90015-2</idno><idno type="PII">0002-9149(78)90015-2</idno><idno type="ArticleID">78900152</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1978</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Of 16 infants who presented with paroxysmal supraventricular tachycardia in the neonatal period, 50 percent had an electrocardiographc pattern consistent with Wolff-Parkinson-White conduction, type A. It is suggested that infants have bypass pathways similar to or identical with a Kent pathway as part of normal maturation. Infants with paroxysmal supraventricular tachycardia have electrically active bypass tracts but these are documented in only about one half of the patients because of the short duration of recordings or because of concealment (the bypass tract conducts only in retrograde fashion). The activity of these pathways is enhanced by the predominant cholinergic innervation of the neonatal heart. Resolution of the arrhythmias and the Wolff-Parkinson-White pattern in most patients occurs because of anatomic maturation of the conduction tissue, development of adrenergic innervation and a decrease in cholinergic dominance. In some children, maturation is incomplete and the bypass fibers remain quiescent or become active under certain circumstances such as those associated with increased autonomic discharge. Extended surveillance is recommended for all infants who present with paroxysmal supraventricular tachycardia and the Wolff-Parkinson-White pattern.</p></abstract></profileDesc><revisionDesc><change when="1977-09-14">Registration</change><change when="1977-09-09">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>78900152</aid><ce:pii>0002-9149(78)90015-2</ce:pii><ce:doi>10.1016/0002-9149(78)90015-2</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>Wolff-Parkinson-White syndrome in the neonate</ce:title><ce:author-group><ce:author><ce:given-name>Grace S.</ce:given-name><ce:surname>Wolff</ce:surname><ce:degrees>MD, FACC</ce:degrees><ce:cross-ref refid="COR1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Jaok</ce:given-name><ce:surname>Han</ce:surname><ce:degrees>MD, PhD, FACC</ce:degrees><ce:cross-ref refid="AFF2"><ce:sup loc="post">†</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Joel</ce:given-name><ce:surname>Curran</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF3"><ce:sup loc="post">‡</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>∗</ce:label><ce:textfn>From the Department of Pediatrics (Pediatric Cardiology), Albany Medical Center Hospital, Albany, New York USA</ce:textfn></ce:affiliation><ce:affiliation id="AFF2"><ce:label>†</ce:label><ce:textfn>From the Department of Medicine (Cardiology), Albany Medical Center Hospital, Albany, New York USA</ce:textfn></ce:affiliation><ce:affiliation id="AFF3"><ce:label>‡</ce:label><ce:textfn>From the Department of Pediatrics, Berkshire Medical Center, Pittsfield, Massachusetts USA</ce:textfn></ce:affiliation><ce:correspondence id="COR1"><ce:label>∗</ce:label><ce:text>Present address and address for reprints: Grace S. Wolff, MD, Department of Pediatrics (Pediatric Cardiology), University of Miami School of Medicine, Miami, Florida 33152.</ce:text></ce:correspondence></ce:author-group><ce:date-received day="31" month="5" year="1977"></ce:date-received><ce:date-revised day="9" month="9" year="1977"></ce:date-revised><ce:date-accepted day="14" month="9" 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">Of 16 infants who presented with paroxysmal supraventricular tachycardia in the neonatal period, 50 percent had an electrocardiographc pattern consistent with Wolff-Parkinson-White conduction, type A. It is suggested that infants have bypass pathways similar to or identical with a Kent pathway as part of normal maturation. Infants with paroxysmal supraventricular tachycardia have electrically active bypass tracts but these are documented in only about one half of the patients because of the short duration of recordings or because of concealment (the bypass tract conducts only in retrograde fashion). The activity of these pathways is enhanced by the predominant cholinergic innervation of the neonatal heart. Resolution of the arrhythmias and the Wolff-Parkinson-White pattern in most patients occurs because of anatomic maturation of the conduction tissue, development of adrenergic innervation and a decrease in cholinergic dominance. In some children, maturation is incomplete and the bypass fibers remain quiescent or become active under certain circumstances such as those associated with increased autonomic discharge. Extended surveillance is recommended for all infants who present with paroxysmal supraventricular tachycardia and the Wolff-Parkinson-White pattern.</ce:simple-para></ce:abstract-sec></ce:abstract></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Wolff-Parkinson-White syndrome in the neonate</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Wolff-Parkinson-White syndrome in the neonate</title></titleInfo><name type="personal"><namePart type="given">Grace S.</namePart><namePart type="family">Wolff</namePart><namePart type="termsOfAddress">MD, FACC</namePart><affiliation>From the Department of Pediatrics (Pediatric Cardiology), Albany Medical Center Hospital, Albany, New York USA</affiliation><description>Present address and address for reprints: Grace S. Wolff, MD, Department of Pediatrics (Pediatric Cardiology), University of Miami School of Medicine, Miami, Florida 33152.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jaok</namePart><namePart type="family">Han</namePart><namePart type="termsOfAddress">MD, PhD, FACC</namePart><affiliation>From the Department of Medicine (Cardiology), Albany Medical Center Hospital, Albany, New York USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Joel</namePart><namePart type="family">Curran</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Department of Pediatrics, Berkshire Medical Center, Pittsfield, Massachusetts 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">1977-09-14</dateValid><dateModified encoding="w3cdtf">1977-09-09</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">Of 16 infants who presented with paroxysmal supraventricular tachycardia in the neonatal period, 50 percent had an electrocardiographc pattern consistent with Wolff-Parkinson-White conduction, type A. It is suggested that infants have bypass pathways similar to or identical with a Kent pathway as part of normal maturation. Infants with paroxysmal supraventricular tachycardia have electrically active bypass tracts but these are documented in only about one half of the patients because of the short duration of recordings or because of concealment (the bypass tract conducts only in retrograde fashion). The activity of these pathways is enhanced by the predominant cholinergic innervation of the neonatal heart. Resolution of the arrhythmias and the Wolff-Parkinson-White pattern in most patients occurs because of anatomic maturation of the conduction tissue, development of adrenergic innervation and a decrease in cholinergic dominance. In some children, maturation is incomplete and the bypass fibers remain quiescent or become active under certain circumstances such as those associated with increased autonomic discharge. Extended surveillance is recommended for all infants who present with paroxysmal supraventricular tachycardia and the Wolff-Parkinson-White pattern.</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">197803</dateIssued></originInfo><identifier type="ISSN">0002-9149</identifier><identifier type="PII">S0002-9149(00)X0427-4</identifier><part><date>197803</date><detail type="volume"><number>41</number><caption>vol.</caption></detail><detail type="issue"><number>3</number><caption>no.</caption></detail><extent unit="issue pages"><start>A106</start><end>A129</end></extent><extent unit="issue pages"><start>A4</start><end>A47</end></extent><extent unit="issue pages"><start>A51</start><end>A59</end></extent><extent unit="issue pages"><start>A68</start></extent><extent unit="issue pages"><start>A85</start><end>A98</end></extent><extent unit="issue pages"><start>469</start><end>630</end></extent><extent unit="pages"><start>559</start><end>563</end></extent></part></relatedItem><identifier type="istex">B78B052A70C52C779598B977C9598E9E05A883F2</identifier><identifier type="DOI">10.1016/0002-9149(78)90015-2</identifier><identifier type="PII">0002-9149(78)90015-2</identifier><identifier type="ArticleID">78900152</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata><enrichments><istex:refBibTEI uri="https://api.istex.fr/document/B78B052A70C52C779598B977C9598E9E05A883F2/enrichments/refBib"><teiHeader></teiHeader><text><front></front><body></body><back><listBibl><biblStruct><analytic><author><persName><forename type="first">Nadas</forename><forename type="middle">As</forename><surname>Fyler</surname></persName></author><author><persName><surname>Dc</surname></persName></author></analytic><monogr><title level="j">Pediatric Cardiology</title><imprint><biblScope unit="page">196</biblScope><date type="published" when="1972"></date></imprint></monogr><note>third. edition</note></biblStruct><biblStruct><analytic><title level="a" type="main">Paroxysmal tachycardia in infants and children</title><author><persName><forename type="first">Nadas</forename><forename type="middle">As</forename><surname>Daeschner</surname></persName></author><author><persName><forename type="first">Roth</forename><forename type="middle">A</forename><surname>Cw</surname></persName></author></analytic><monogr><title level="j">Pediatrics</title><imprint><biblScope unit="volume">9</biblScope><biblScope unit="page" from="167" to="181"></biblScope><date type="published" when="1952"></date></imprint></monogr></biblStruct><biblStruct><analytic><title level="a" type="main">Paroxysmal atrial tachycardia in infancy</title><author><persName><surname>Lundberg</surname></persName></author></analytic><monogr><title level="j">Acta Paediatr Stand</title><imprint><biblScope unit="volume">143</biblScope><biblScope unit="page" from="1" to="128"></biblScope><date type="published" when="1963"></date></imprint></monogr><note>Suppl</note></biblStruct><biblStruct><analytic><title level="a" type="main">Paroxysmal tachycardia in infancy: follow-up study of 47 subjects ranging in age from 10 to 26 years</title><author><persName><surname>Lundberg</surname></persName></author></analytic><monogr><title level="j">Pediatrics</title><imprint><biblScope unit="volume">51</biblScope><biblScope unit="page" from="26" to="35"></biblScope><date type="published" when="1973"></date></imprint></monogr></biblStruct><biblStruct><analytic><title level="a" type="main">Wolff-Parkinson-White in the neonate; 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