The Different Electrophysiological Characteristics in Children with Wolff‐Parkinson‐White Syndrome Between Those with and Without Atrial Fibrillation
Identifieur interne : 000138 ( Main/Corpus ); précédent : 000137; suivant : 000139The Different Electrophysiological Characteristics in Children with Wolff‐Parkinson‐White Syndrome Between Those with and Without Atrial Fibrillation
Auteurs : Pi-Chang Lee ; Betau Hwang ; Ching-Tai Tai ; Chern-En Chiang ; Wen-Chung Yu ; Shih-Ann ChenSource :
- Pacing and Clinical Electrophysiology [ 0147-8389 ] ; 2004-02.
English descriptors
Abstract
Atrioventricular reciprocating tachycardia (AVRT) is known to be the most common supraventricular tachycardias in childhood. Because AF with rapid ventricular response may degenerate to ventricular fibrillation through conduction of accessory pathways (APs), it can be potentially life‐threatening in some pediatric patients with WPW syndrome. However, information about WPW syndrome children associated with AF is limited. The purpose of this study was to investigate the specific electrophysiological characteristics in pediatric patients with WPW syndrome and AF. From July 1992 to February 2002, 51 pediatric patients with manifest WPW syndrome and documented AVRT underwent electrophysiological study and radiofrequency catheter ablation. In these patients, two (4%) were found to have several spontaneous episodes of AF recognized on 12‐lead standard ECG or 24‐hour Holter monitoring. Eleven (22%) patients had AF induced by rapid atrial pacing during the baseline procedure of electrophysiological study. The children with manifest WPW syndrome were divided into two groups: those with AF (group 1; n = 11) consisted of seven male and four female children (mean age 15 ± 3 years, range 10–18), and those without AF (group 2; n = 40) consisted of 22 boys and 18 girls (mean age 16 ± 3 years, range 7–18). The study excluded a patient who had Ebstein's anomaly associated with moderate tricuspid regurgitation and right atrial enlargement. The onset and duration of symptoms were not significantly different between the two groups. Comparing the electrophysiological characteristics, the atrial effective refractory period (ERP) was shorter in WPW syndrome children with AF (170 ± 36 vs 190 ± 38 ms, P = 0.041). This study demonstrated that the pediatric WPW syndrome patients with AF had different electrophysiological characteristics from those without AF. (PACE 2004; 27:235–239)
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DOI: 10.1111/j.1540-8159.2004.00417.x
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sortKey="Chiang, Chern N" sort="Chiang, Chern N" uniqKey="Chiang C" first="Chern-En" last="Chiang">Chern-En Chiang</name><affiliation><mods:affiliation>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</mods:affiliation></affiliation></author><author><name sortKey="Yu, Wen Hung" sort="Yu, Wen Hung" uniqKey="Yu W" first="Wen-Chung" last="Yu">Wen-Chung Yu</name><affiliation><mods:affiliation>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</mods:affiliation></affiliation></author><author><name sortKey="Chen, Shih Nn" sort="Chen, Shih Nn" uniqKey="Chen S" first="Shih-Ann" last="Chen">Shih-Ann Chen</name><affiliation><mods:affiliation>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno 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Pediatrics</mods:affiliation></affiliation></author><author><name sortKey="Tai, Ching Ai" sort="Tai, Ching Ai" uniqKey="Tai C" first="Ching-Tai" last="Tai">Ching-Tai Tai</name><affiliation><mods:affiliation>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</mods:affiliation></affiliation></author><author><name sortKey="Chiang, Chern N" sort="Chiang, Chern N" uniqKey="Chiang C" first="Chern-En" last="Chiang">Chern-En Chiang</name><affiliation><mods:affiliation>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</mods:affiliation></affiliation></author><author><name sortKey="Yu, Wen Hung" sort="Yu, Wen Hung" uniqKey="Yu W" first="Wen-Chung" last="Yu">Wen-Chung Yu</name><affiliation><mods:affiliation>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</mods:affiliation></affiliation></author><author><name sortKey="Chen, Shih Nn" sort="Chen, Shih Nn" uniqKey="Chen S" 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Because AF with rapid ventricular response may degenerate to ventricular fibrillation through conduction of accessory pathways (APs), it can be potentially life‐threatening in some pediatric patients with WPW syndrome. However, information about WPW syndrome children associated with AF is limited. The purpose of this study was to investigate the specific electrophysiological characteristics in pediatric patients with WPW syndrome and AF. From July 1992 to February 2002, 51 pediatric patients with manifest WPW syndrome and documented AVRT underwent electrophysiological study and radiofrequency catheter ablation. In these patients, two (4%) were found to have several spontaneous episodes of AF recognized on 12‐lead standard ECG or 24‐hour Holter monitoring. Eleven (22%) patients had AF induced by rapid atrial pacing during the baseline procedure of electrophysiological study. The children with manifest WPW syndrome were divided into two groups: those with AF (group 1; n = 11) consisted of seven male and four female children (mean age 15 ± 3 years, range 10–18), and those without AF (group 2; n = 40) consisted of 22 boys and 18 girls (mean age 16 ± 3 years, range 7–18). The study excluded a patient who had Ebstein's anomaly associated with moderate tricuspid regurgitation and right atrial enlargement. The onset and duration of symptoms were not significantly different between the two groups. Comparing the electrophysiological characteristics, the atrial effective refractory period (ERP) was shorter in WPW syndrome children with AF (170 ± 36 vs 190 ± 38 ms, P = 0.041). This study demonstrated that the pediatric WPW syndrome patients with AF had different electrophysiological characteristics from those without AF. (PACE 2004; 27:235–239)</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>PI‐CHANG LEE</name><affiliations><json:string>Departments of Pediatrics</json:string></affiliations></json:item><json:item><name>BETAU HWANG</name><affiliations><json:string>Departments of Pediatrics</json:string></affiliations></json:item><json:item><name>CHING‐TAI TAI</name><affiliations><json:string>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</json:string></affiliations></json:item><json:item><name>CHERN‐EN CHIANG</name><affiliations><json:string>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</json:string></affiliations></json:item><json:item><name>WEN‐CHUNG YU</name><affiliations><json:string>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</json:string></affiliations></json:item><json:item><name>SHIH‐ANN CHEN</name><affiliations><json:string>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>electrophysiology</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Wolff‐Parkinson‐White syndrome</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>atrial fibrillation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>children</value></json:item></subject><articleId><json:string>PACE417</json:string></articleId><language><json:string>eng</json:string></language><abstract>Atrioventricular reciprocating tachycardia (AVRT) is known to be the most common supraventricular tachycardias in childhood. Because AF with rapid ventricular response may degenerate to ventricular fibrillation through conduction of accessory pathways (APs), it can be potentially life‐threatening in some pediatric patients with WPW syndrome. However, information about WPW syndrome children associated with AF is limited. The purpose of this study was to investigate the specific electrophysiological characteristics in pediatric patients with WPW syndrome and AF. From July 1992 to February 2002, 51 pediatric patients with manifest WPW syndrome and documented AVRT underwent electrophysiological study and radiofrequency catheter ablation. In these patients, two (4%) were found to have several spontaneous episodes of AF recognized on 12‐lead standard ECG or 24‐hour Holter monitoring. Eleven (22%) patients had AF induced by rapid atrial pacing during the baseline procedure of electrophysiological study. The children with manifest WPW syndrome were divided into two groups: those with AF (group 1; n = 11) consisted of seven male and four female children (mean age 15 ± 3 years, range 10–18), and those without AF (group 2; n = 40) consisted of 22 boys and 18 girls (mean age 16 ± 3 years, range 7–18). The study excluded a patient who had Ebstein's anomaly associated with moderate tricuspid regurgitation and right atrial enlargement. The onset and duration of symptoms were not significantly different between the two groups. Comparing the electrophysiological characteristics, the atrial effective refractory period (ERP) was shorter in WPW syndrome children with AF (170 ± 36 vs 190 ± 38 ms, P = 0.041). This study demonstrated that the pediatric WPW syndrome patients with AF had different electrophysiological characteristics from those without AF. 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Because AF with rapid ventricular response may degenerate to ventricular fibrillation through conduction of accessory pathways (APs), it can be potentially life‐threatening in some pediatric patients with WPW syndrome. However, information about WPW syndrome children associated with AF is limited. The purpose of this study was to investigate the specific electrophysiological characteristics in pediatric patients with WPW syndrome and AF. From July 1992 to February 2002, 51 pediatric patients with manifest WPW syndrome and documented AVRT underwent electrophysiological study and radiofrequency catheter ablation. In these patients, two (4%) were found to have several spontaneous episodes of AF recognized on 12‐lead standard ECG or 24‐hour Holter monitoring. Eleven (22%) patients had AF induced by rapid atrial pacing during the baseline procedure of electrophysiological study. The children with manifest WPW syndrome were divided into two groups: those with AF (group 1; n = 11) consisted of seven male and four female children (mean age 15 ± 3 years, range 10–18), and those without AF (group 2; n = 40) consisted of 22 boys and 18 girls (mean age 16 ± 3 years, range 7–18). The study excluded a patient who had Ebstein's anomaly associated with moderate tricuspid regurgitation and right atrial enlargement. The onset and duration of symptoms were not significantly different between the two groups. Comparing the electrophysiological characteristics, the atrial effective refractory period (ERP) was shorter in WPW syndrome children with AF (170 ± 36 vs 190 ± 38 ms, P = 0.041). This study demonstrated that the pediatric WPW syndrome patients with AF had different electrophysiological characteristics from those without AF. (PACE 2004; 27:235–239)</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>electrophysiology</term></item><item><term>Wolff‐Parkinson‐White syndrome</term></item><item><term>atrial fibrillation</term></item><item><term>children</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2004-02">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/6FDBA2D2C2A1FC783B5B14F2DEF38C1650E181E2/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Futura Publishing, Inc.</publisherName><publisherLoc> 350 Main Street , Malden , MA 02148‐5018 , USA and 9600 Garsington Road , Oxford OX4 2DQ , UK . </publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1540-8159</doi><issn type="print">0147-8389</issn><issn type="electronic">1540-8159</issn><idGroup><id type="product" value="PACE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="PACING CLINICAL ELECTROPHYSIOLOGY">Pacing and Clinical Electrophysiology</title></titleGroup></publicationMeta><publicationMeta level="part" position="02002"><doi origin="wiley">10.1111/pace.2004.27.issue-2</doi><numberingGroup><numbering type="journalVolume" number="27">27</numbering><numbering type="journalIssue" number="2">2</numbering></numberingGroup><coverDate startDate="2004-02">February 2004</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="15" status="forIssue"><doi origin="wiley">10.1111/j.1540-8159.2004.00417.x</doi><idGroup><id type="unit" value="PACE417"></id><id type="supplier" value="pace417"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="tocHeading1"><i>ORIGINAL ARTICLES</i></title></titleGroup><eventGroup><event type="firstOnline" date="2004-02-06"></event><event type="publishedOnlineFinalForm" date="2004-02-06"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.4 mode:FullText source:FullText result:FullText" date="2010-03-29"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-06"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-03"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="235">235</numbering><numbering type="pageLast" number="239">239</numbering></numberingGroup><correspondenceTo>Address for reprints: Shih‐Ann Chen, M.D., Div. of Cardiology, Dept. of Medicine, Taipei Veterans General Hospital, Taiwan. Fax: 886‐2‐2873‐5656; e‐mail: <email>epsachen@ms41.hinet.net</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:PACE.PACE417.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received April 17, 2003; revised May 16, 2003; accepted June 16, 2003.</unparsedEditorialHistory><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="1"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="33"></count><count type="linksCrossRef" number="36"></count></countGroup><titleGroup><title type="main">The Different Electrophysiological Characteristics in Children with Wolff‐Parkinson‐White Syndrome Between Those with and Without Atrial Fibrillation</title><title type="shortAuthors">LEE, ET AL.</title><title type="short">WPW SYNDROME IN PEDIATRIC PATIENTS</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>PI‐CHANG</givenNames><familyName>LEE</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>BETAU</givenNames><familyName>HWANG</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2"><personName><givenNames>CHING‐TAI</givenNames><familyName>TAI</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a2"><personName><givenNames>CHERN‐EN</givenNames><familyName>CHIANG</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a2"><personName><givenNames>WEN‐CHUNG</givenNames><familyName>YU</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a2"><personName><givenNames>SHIH‐ANN</givenNames><familyName>CHEN</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Departments of Pediatrics</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1"><i>electrophysiology</i></keyword><keyword xml:id="k2"><i>Wolff‐Parkinson‐White syndrome</i></keyword><keyword xml:id="k3"><i>atrial fibrillation</i></keyword><keyword xml:id="k4"><i>children</i></keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><!-- LEE, P.-C., et al .: The Different Electrophysiological Characteristics in Children with Wolff-Parkinson-White Syndrome Between Those with and Without Atrial Fibrillation.  --><p> <i>Atrioventricular reciprocating tachycardia (AVRT) is known to be the most common supraventricular tachycardias in childhood. Because AF with rapid ventricular response may degenerate to ventricular fibrillation through conduction of accessory pathways (APs), it can be potentially life‐threatening in some pediatric patients with WPW syndrome. However, information about WPW syndrome children associated with AF is limited. The purpose of this study was to investigate the specific electrophysiological characteristics in pediatric patients with WPW syndrome and AF. From July 1992 to February 2002, 51 pediatric patients with manifest WPW syndrome and documented AVRT underwent electrophysiological study and radiofrequency catheter ablation. In these patients, two (4%) were found to have several spontaneous episodes of AF recognized on 12‐lead standard ECG or 24‐hour Holter monitoring. Eleven (22%) patients had AF induced by rapid atrial pacing during the baseline procedure of electrophysiological study. The children with manifest WPW syndrome were divided into two groups: those with AF (group 1; n = 11) consisted of seven male and four female children (mean age 15 ± 3 years, range 10–18), and those without AF (group 2; n = 40) consisted of 22 boys and 18 girls (mean age 16 ± 3 years, range 7–18). The study excluded a patient who had Ebstein's anomaly associated with moderate tricuspid regurgitation and right atrial enlargement. The onset and duration of symptoms were not significantly different between the two groups. Comparing the electrophysiological characteristics, the atrial effective refractory period (ERP) was shorter in WPW syndrome children with AF (170 ± 36 vs 190 ± 38 ms, P = 0.041). This study demonstrated that the pediatric WPW syndrome patients with AF had different electrophysiological characteristics from those without AF. (PACE 2004; 27:235–239)</i> </p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The Different Electrophysiological Characteristics in Children with Wolff‐Parkinson‐White Syndrome Between Those with and Without Atrial Fibrillation</title></titleInfo><titleInfo type="abbreviated"><title>WPW SYNDROME IN PEDIATRIC PATIENTS</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>The Different Electrophysiological Characteristics in Children with Wolff‐Parkinson‐White Syndrome Between Those with and Without Atrial Fibrillation</title></titleInfo><name type="personal"><namePart type="given">PI‐CHANG</namePart><namePart type="family">LEE</namePart><affiliation>Departments of Pediatrics</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">BETAU</namePart><namePart type="family">HWANG</namePart><affiliation>Departments of Pediatrics</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">CHING‐TAI</namePart><namePart type="family">TAI</namePart><affiliation>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">CHERN‐EN</namePart><namePart type="family">CHIANG</namePart><affiliation>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">WEN‐CHUNG</namePart><namePart type="family">YU</namePart><affiliation>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">SHIH‐ANN</namePart><namePart type="family">CHEN</namePart><affiliation>Medicine, Taipei Veterans General Hospital and National Yang‐Ming University, Taipei, Taiwan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Futura Publishing, Inc.</publisher><place><placeTerm type="text">350 Main Street , Malden , MA 02148‐5018 , USA and 9600 Garsington Road , Oxford OX4 2DQ , UK .</placeTerm></place><dateIssued encoding="w3cdtf">2004-02</dateIssued><edition>Received April 17, 2003; revised May 16, 2003; accepted June 16, 2003.</edition><copyrightDate encoding="w3cdtf">2004</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="tables">1</extent><extent unit="references">33</extent></physicalDescription><abstract lang="en">Atrioventricular reciprocating tachycardia (AVRT) is known to be the most common supraventricular tachycardias in childhood. Because AF with rapid ventricular response may degenerate to ventricular fibrillation through conduction of accessory pathways (APs), it can be potentially life‐threatening in some pediatric patients with WPW syndrome. However, information about WPW syndrome children associated with AF is limited. The purpose of this study was to investigate the specific electrophysiological characteristics in pediatric patients with WPW syndrome and AF. From July 1992 to February 2002, 51 pediatric patients with manifest WPW syndrome and documented AVRT underwent electrophysiological study and radiofrequency catheter ablation. In these patients, two (4%) were found to have several spontaneous episodes of AF recognized on 12‐lead standard ECG or 24‐hour Holter monitoring. Eleven (22%) patients had AF induced by rapid atrial pacing during the baseline procedure of electrophysiological study. The children with manifest WPW syndrome were divided into two groups: those with AF (group 1; n = 11) consisted of seven male and four female children (mean age 15 ± 3 years, range 10–18), and those without AF (group 2; n = 40) consisted of 22 boys and 18 girls (mean age 16 ± 3 years, range 7–18). The study excluded a patient who had Ebstein's anomaly associated with moderate tricuspid regurgitation and right atrial enlargement. The onset and duration of symptoms were not significantly different between the two groups. Comparing the electrophysiological characteristics, the atrial effective refractory period (ERP) was shorter in WPW syndrome children with AF (170 ± 36 vs 190 ± 38 ms, P = 0.041). This study demonstrated that the pediatric WPW syndrome patients with AF had different electrophysiological characteristics from those without AF. (PACE 2004; 27:235–239)</abstract><subject lang="en"><genre>Keywords</genre><topic>electrophysiology</topic><topic>Wolff‐Parkinson‐White syndrome</topic><topic>atrial fibrillation</topic><topic>children</topic></subject><relatedItem type="host"><titleInfo><title>Pacing and Clinical Electrophysiology</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0147-8389</identifier><identifier type="eISSN">1540-8159</identifier><identifier type="DOI">10.1111/(ISSN)1540-8159</identifier><identifier type="PublisherID">PACE</identifier><part><date>2004</date><detail type="volume"><caption>vol.</caption><number>27</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>235</start><end>239</end><total>5</total></extent></part></relatedItem><identifier type="istex">6FDBA2D2C2A1FC783B5B14F2DEF38C1650E181E2</identifier><identifier type="DOI">10.1111/j.1540-8159.2004.00417.x</identifier><identifier type="ArticleID">PACE417</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Futura Publishing, Inc.</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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