Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome
Identifieur interne : 000182 ( Main/Corpus ); précédent : 000181; suivant : 000183Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome
Auteurs : Béatrice Brembilla-Perrot ; Ioana Holban ; Pierre Houriez ; Olivier Claudon ; Daniel Beurrier ; Anne Claire VanconSource :
- Pacing and Clinical Electrophysiology [ 0147-8389 ] ; 2001-10.
English descriptors
Abstract
BREMBILLA‐PERROT, B., et al.: Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome. Sudden death might be the first event in patients with asymptomatic WPW. The purpose of the study was to know if the age of the patient modifies the electrophysiological characteristics of asymptomatic WPW. Transesophageal stimulation was performed on 92 asymptomatic WPW patients from the following age groups: 10–69 years (n =14), 20–29 years (n = 33), 30–39 years (n = 15), 40–49 years (n = 17), and 50–69 years (n = 13). The procedure consisted of atrial pacing up to the second AV block, programmed atrial stimulation using one and two extrastimuli delivered on two driven rhythms in the control state, and after infusion of isoproterenol. In the five age groups, paroxysmal junctional tachycardia occurred, respectively, in 1 (7%), 1 (3%), 2 (13%), 2 (12%) patients, and not at all in the oldest group. AF > 1 minute occurred, respectively, in 3 (21%), 9 (27%), 5 (33%), 3 (18%), and 4 (31%) patients. The dangerous form of WPW (rapid conduction in the Kent bundle > 240/min in the control state or > 300/min after isoproterenol + AF induction) occurred, respectively, in 3 (21%), 9 (27%), 4 (27%), 1 (6%), and 3 (23%) patients. In conclusion, electrophysiological data of asymptomatic WPW are not modified by age of the patient. Elderly patients remain at risk of a dangerous form of WPW; systematic evaluation of WPW is recommended in patients with an active life independent of age.
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DOI: 10.1046/j.1460-9592.2001.01514.x
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ISTEX:26A4B1A92BDFDB5AAFF13F09F7BFB53D503075E6Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome</title><author><name sortKey="Brembilla Errot, Beatrice" sort="Brembilla Errot, Beatrice" uniqKey="Brembilla Errot B" first="Béatrice" last="Brembilla-Perrot">Béatrice Brembilla-Perrot</name><affiliation><mods:affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</mods:affiliation></affiliation></author><author><name sortKey="Holban, Ioana" sort="Holban, Ioana" uniqKey="Holban I" first="Ioana" last="Holban">Ioana Holban</name><affiliation><mods:affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</mods:affiliation></affiliation></author><author><name sortKey="Houriez, Pierre" sort="Houriez, Pierre" uniqKey="Houriez P" first="Pierre" last="Houriez">Pierre Houriez</name><affiliation><mods:affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</mods:affiliation></affiliation></author><author><name sortKey="Claudon, Olivier" sort="Claudon, Olivier" uniqKey="Claudon O" first="Olivier" last="Claudon">Olivier Claudon</name><affiliation><mods:affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</mods:affiliation></affiliation></author><author><name sortKey="Beurrier, Daniel" sort="Beurrier, Daniel" uniqKey="Beurrier D" first="Daniel" last="Beurrier">Daniel Beurrier</name><affiliation><mods:affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</mods:affiliation></affiliation></author><author><name sortKey="Vancon, Anne Claire" sort="Vancon, Anne Claire" uniqKey="Vancon A" first="Anne Claire" last="Vancon">Anne Claire Vancon</name><affiliation><mods:affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno 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Holban</name><affiliation><mods:affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</mods:affiliation></affiliation></author><author><name sortKey="Houriez, Pierre" sort="Houriez, Pierre" uniqKey="Houriez P" first="Pierre" last="Houriez">Pierre Houriez</name><affiliation><mods:affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</mods:affiliation></affiliation></author><author><name sortKey="Claudon, Olivier" sort="Claudon, Olivier" uniqKey="Claudon O" first="Olivier" last="Claudon">Olivier Claudon</name><affiliation><mods:affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</mods:affiliation></affiliation></author><author><name sortKey="Beurrier, Daniel" sort="Beurrier, Daniel" uniqKey="Beurrier D" first="Daniel" last="Beurrier">Daniel Beurrier</name><affiliation><mods:affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</mods:affiliation></affiliation></author><author><name sortKey="Vancon, Anne Claire" sort="Vancon, Anne Claire" uniqKey="Vancon A" first="Anne Claire" last="Vancon">Anne Claire Vancon</name><affiliation><mods:affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Pacing and Clinical Electrophysiology</title><idno type="ISSN">0147-8389</idno><idno type="eISSN">1540-8159</idno><imprint><publisher>Blackwell Futura Publishing, Inc.</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2001-10">2001-10</date><biblScope unit="volume">24</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1514">1514</biblScope><biblScope unit="page" to="1518">1518</biblScope></imprint><idno type="ISSN">0147-8389</idno></series><idno type="istex">26A4B1A92BDFDB5AAFF13F09F7BFB53D503075E6</idno><idno type="DOI">10.1046/j.1460-9592.2001.01514.x</idno><idno type="ArticleID">PACE1514</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0147-8389</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Wolff‐Parkinson‐White syndrome</term><term>sudden death</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">BREMBILLA‐PERROT, B., et al.: Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome. Sudden death might be the first event in patients with asymptomatic WPW. The purpose of the study was to know if the age of the patient modifies the electrophysiological characteristics of asymptomatic WPW. Transesophageal stimulation was performed on 92 asymptomatic WPW patients from the following age groups: 10–69 years (n =14), 20–29 years (n = 33), 30–39 years (n = 15), 40–49 years (n = 17), and 50–69 years (n = 13). The procedure consisted of atrial pacing up to the second AV block, programmed atrial stimulation using one and two extrastimuli delivered on two driven rhythms in the control state, and after infusion of isoproterenol. In the five age groups, paroxysmal junctional tachycardia occurred, respectively, in 1 (7%), 1 (3%), 2 (13%), 2 (12%) patients, and not at all in the oldest group. AF > 1 minute occurred, respectively, in 3 (21%), 9 (27%), 5 (33%), 3 (18%), and 4 (31%) patients. The dangerous form of WPW (rapid conduction in the Kent bundle > 240/min in the control state or > 300/min after isoproterenol + AF induction) occurred, respectively, in 3 (21%), 9 (27%), 4 (27%), 1 (6%), and 3 (23%) patients. In conclusion, electrophysiological data of asymptomatic WPW are not modified by age of the patient. Elderly patients remain at risk of a dangerous form of WPW; systematic evaluation of WPW is recommended in patients with an active life independent of age.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>BÉATRICE BREMBILLA‐PERROT</name><affiliations><json:string>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</json:string></affiliations></json:item><json:item><name>IOANA HOLBAN</name><affiliations><json:string>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</json:string></affiliations></json:item><json:item><name>PIERRE HOURIEZ</name><affiliations><json:string>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</json:string></affiliations></json:item><json:item><name>OLIVIER CLAUDON</name><affiliations><json:string>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</json:string></affiliations></json:item><json:item><name>DANIEL BEURRIER</name><affiliations><json:string>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</json:string></affiliations></json:item><json:item><name>ANNE CLAIRE VANCON</name><affiliations><json:string>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</json:string></affiliations></json:item></author><subject><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>sudden death</value></json:item></subject><articleId><json:string>PACE1514</json:string></articleId><language><json:string>eng</json:string></language><abstract>BREMBILLA‐PERROT, B., et al.: Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome. Sudden death might be the first event in patients with asymptomatic WPW. The purpose of the study was to know if the age of the patient modifies the electrophysiological characteristics of asymptomatic WPW. Transesophageal stimulation was performed on 92 asymptomatic WPW patients from the following age groups: 10–69 years (n =14), 20–29 years (n = 33), 30–39 years (n = 15), 40–49 years (n = 17), and 50–69 years (n = 13). The procedure consisted of atrial pacing up to the second AV block, programmed atrial stimulation using one and two extrastimuli delivered on two driven rhythms in the control state, and after infusion of isoproterenol. In the five age groups, paroxysmal junctional tachycardia occurred, respectively, in 1 (7%), 1 (3%), 2 (13%), 2 (12%) patients, and not at all in the oldest group. AF > 1 minute occurred, respectively, in 3 (21%), 9 (27%), 5 (33%), 3 (18%), and 4 (31%) patients. The dangerous form of WPW (rapid conduction in the Kent bundle > 240/min in the control state or > 300/min after isoproterenol + AF induction) occurred, respectively, in 3 (21%), 9 (27%), 4 (27%), 1 (6%), and 3 (23%) patients. In conclusion, electrophysiological data of asymptomatic WPW are not modified by age of the patient. Elderly patients remain at risk of a dangerous form of WPW; systematic evaluation of WPW is recommended in patients with an active life independent of age.</abstract><qualityIndicators><score>5.821</score><pdfVersion>1.2</pdfVersion><pdfPageSize>552.472 x 755.717 pts</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>2</keywordCount><abstractCharCount>1524</abstractCharCount><pdfWordCount>2821</pdfWordCount><pdfCharCount>17567</pdfCharCount><pdfPageCount>5</pdfPageCount><abstractWordCount>252</abstractWordCount></qualityIndicators><title>Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome</title><genre><json:string>article</json:string></genre><host><volume>24</volume><publisherId><json:string>PACE</json:string></publisherId><pages><total>5</total><last>1518</last><first>1514</first></pages><issn><json:string>0147-8389</json:string></issn><issue>10</issue><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1540-8159</json:string></eissn><title>Pacing and Clinical Electrophysiology</title><doi><json:string>10.1111/(ISSN)1540-8159</json:string></doi></host><publicationDate>2001</publicationDate><copyrightDate>2001</copyrightDate><doi><json:string>10.1046/j.1460-9592.2001.01514.x</json:string></doi><id>26A4B1A92BDFDB5AAFF13F09F7BFB53D503075E6</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/26A4B1A92BDFDB5AAFF13F09F7BFB53D503075E6/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/26A4B1A92BDFDB5AAFF13F09F7BFB53D503075E6/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/26A4B1A92BDFDB5AAFF13F09F7BFB53D503075E6/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome</title><respStmt xml:id="ISTEX-API" resp="Références bibliographiques récupérées via GROBID" name="ISTEX-API (INIST-CNRS)"></respStmt></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Futura Publishing, Inc.</publisher><pubPlace>Oxford, UK</pubPlace><availability><p>WILEY</p></availability><date>2001</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome</title><author><persName><forename type="first">BÉATRICE</forename><surname>BREMBILLA‐PERROT</surname></persName><affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</affiliation></author><author><persName><forename type="first">IOANA</forename><surname>HOLBAN</surname></persName><affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</affiliation></author><author><persName><forename type="first">PIERRE</forename><surname>HOURIEZ</surname></persName><affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</affiliation></author><author><persName><forename type="first">OLIVIER</forename><surname>CLAUDON</surname></persName><affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</affiliation></author><author><persName><forename type="first">DANIEL</forename><surname>BEURRIER</surname></persName><affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</affiliation></author><author><persName><forename type="first">ANNE CLAIRE</forename><surname>VANCON</surname></persName><affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</affiliation></author></analytic><monogr><title level="j">Pacing and Clinical Electrophysiology</title><idno type="pISSN">0147-8389</idno><idno type="eISSN">1540-8159</idno><idno type="DOI">10.1111/(ISSN)1540-8159</idno><imprint><publisher>Blackwell Futura Publishing, Inc.</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2001-10"></date><biblScope unit="volume">24</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1514">1514</biblScope><biblScope unit="page" to="1518">1518</biblScope></imprint></monogr><idno type="istex">26A4B1A92BDFDB5AAFF13F09F7BFB53D503075E6</idno><idno type="DOI">10.1046/j.1460-9592.2001.01514.x</idno><idno type="ArticleID">PACE1514</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2001</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>BREMBILLA‐PERROT, B., et al.: Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome. Sudden death might be the first event in patients with asymptomatic WPW. The purpose of the study was to know if the age of the patient modifies the electrophysiological characteristics of asymptomatic WPW. Transesophageal stimulation was performed on 92 asymptomatic WPW patients from the following age groups: 10–69 years (n =14), 20–29 years (n = 33), 30–39 years (n = 15), 40–49 years (n = 17), and 50–69 years (n = 13). The procedure consisted of atrial pacing up to the second AV block, programmed atrial stimulation using one and two extrastimuli delivered on two driven rhythms in the control state, and after infusion of isoproterenol. In the five age groups, paroxysmal junctional tachycardia occurred, respectively, in 1 (7%), 1 (3%), 2 (13%), 2 (12%) patients, and not at all in the oldest group. AF > 1 minute occurred, respectively, in 3 (21%), 9 (27%), 5 (33%), 3 (18%), and 4 (31%) patients. The dangerous form of WPW (rapid conduction in the Kent bundle > 240/min in the control state or > 300/min after isoproterenol + AF induction) occurred, respectively, in 3 (21%), 9 (27%), 4 (27%), 1 (6%), and 3 (23%) patients. In conclusion, electrophysiological data of asymptomatic WPW are not modified by age of the patient. Elderly patients remain at risk of a dangerous form of WPW; systematic evaluation of WPW is recommended in patients with an active life independent of age.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Wolff‐Parkinson‐White syndrome</term></item><item><term>sudden death</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2001-10">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2016-3-3">References added</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/26A4B1A92BDFDB5AAFF13F09F7BFB53D503075E6/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley component found"><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>Oxford, 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="10010"><doi origin="wiley">10.1111/pace.2001.24.issue-10</doi><numberingGroup><numbering type="journalVolume" number="24">24</numbering><numbering type="journalIssue" number="10">10</numbering></numberingGroup><coverDate startDate="2001-10">October 2001</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0151400" status="forIssue"><doi origin="wiley">10.1046/j.1460-9592.2001.01514.x</doi><idGroup><id type="unit" value="PACE1514"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><copyright>© Futura Publishing Company, Inc. 2001</copyright><eventGroup><event type="firstOnline" date="2003-07-22"></event><event type="publishedOnlineFinalForm" date="2003-07-22"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:Header result:Header" date="2010-03-02"></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="1514">1514</numbering><numbering type="pageLast" number="1518">1518</numbering></numberingGroup><correspondenceTo>Address for reprints: Béatrice Brembilla‐Perrot, M.D., Cardiologie, CHU de Brabois, 54500 Vandoeuvre, France. Fax: (33) (0) 3‐83154226; e‐mail: <email normalForm="b.brembilla-perrot@chu-nancy.fr">b.brembilla‐perrot@chu‐nancy.fr</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:PACE.PACE1514.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received September 12, 2000; revised January 2, 2001; accepted January 24, 2001.</unparsedEditorialHistory><titleGroup><title type="main">Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>BÉATRICE</givenNames><familyName>BREMBILLA‐PERROT</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>IOANA</givenNames><familyName>HOLBAN</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>PIERRE</givenNames><familyName>HOURIEZ</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>OLIVIER</givenNames><familyName>CLAUDON</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a1"><personName><givenNames>DANIEL</givenNames><familyName>BEURRIER</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a1"><personName><givenNames>ANNE CLAIRE</givenNames><familyName>VANCON</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="FR"><unparsedAffiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">Wolff‐Parkinson‐White syndrome</keyword><keyword xml:id="k2">sudden death</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p> <b>BREMBILLA‐PERROT, B., <sc>et al.</sc>: Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome.</b> Sudden death might be the first event in patients with asymptomatic WPW. The purpose of the study was to know if the age of the patient modifies the electrophysiological characteristics of asymptomatic WPW. Transesophageal stimulation was performed on 92 asymptomatic WPW patients from the following age groups: 10–69 years (<span type="mathematics">n =14</span>), 20–29 years (<span type="mathematics">n = 33</span>), 30–39 years (<span type="mathematics">n = 15</span>), 40–49 years (<span type="mathematics">n = 17</span>), and 50–69 years (<span type="mathematics">n = 13</span>). The procedure consisted of atrial pacing up to the second AV block, programmed atrial stimulation using one and two extrastimuli delivered on two driven rhythms in the control state, and after infusion of isoproterenol. In the five age groups, paroxysmal junctional tachycardia occurred, respectively, in 1 (7%), 1 (3%), 2 (13%), 2 (12%) patients, and not at all in the oldest group. AF > 1 minute occurred, respectively, in 3 (21%), 9 (27%), 5 (33%), 3 (18%), and 4 (31%) patients. The dangerous form of WPW (rapid conduction in the Kent bundle > 240/min in the control state or > 300/min after isoproterenol + AF induction) occurred, respectively, in 3 (21%), 9 (27%), 4 (27%), 1 (6%), and 3 (23%) patients. In conclusion, electrophysiological data of asymptomatic WPW are not modified by age of the patient. Elderly patients remain at risk of a dangerous form of WPW; systematic evaluation of WPW is recommended in patients with an active life independent of age.</p><!-- (PACE 2001; 24:1514–1518)
</abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome</title></titleInfo><name type="personal"><namePart type="given">BÉATRICE</namePart><namePart type="family">BREMBILLA‐PERROT</namePart><affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">IOANA</namePart><namePart type="family">HOLBAN</namePart><affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">PIERRE</namePart><namePart type="family">HOURIEZ</namePart><affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">OLIVIER</namePart><namePart type="family">CLAUDON</namePart><affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">DANIEL</namePart><namePart type="family">BEURRIER</namePart><affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">ANNE CLAIRE</namePart><namePart type="family">VANCON</namePart><affiliation>Department of Cardiology, CHU of Brabois, Vandoeuvre, France</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">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2001-10</dateIssued><edition>Received September 12, 2000; revised January 2, 2001; accepted January 24, 2001.</edition><copyrightDate encoding="w3cdtf">2001</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">BREMBILLA‐PERROT, B., et al.: Influence of Age on the Potential Risk of Sudden Death in Asymptomatic Wolff‐Parkinson‐White Syndrome. Sudden death might be the first event in patients with asymptomatic WPW. The purpose of the study was to know if the age of the patient modifies the electrophysiological characteristics of asymptomatic WPW. Transesophageal stimulation was performed on 92 asymptomatic WPW patients from the following age groups: 10–69 years (n =14), 20–29 years (n = 33), 30–39 years (n = 15), 40–49 years (n = 17), and 50–69 years (n = 13). The procedure consisted of atrial pacing up to the second AV block, programmed atrial stimulation using one and two extrastimuli delivered on two driven rhythms in the control state, and after infusion of isoproterenol. In the five age groups, paroxysmal junctional tachycardia occurred, respectively, in 1 (7%), 1 (3%), 2 (13%), 2 (12%) patients, and not at all in the oldest group. AF > 1 minute occurred, respectively, in 3 (21%), 9 (27%), 5 (33%), 3 (18%), and 4 (31%) patients. The dangerous form of WPW (rapid conduction in the Kent bundle > 240/min in the control state or > 300/min after isoproterenol + AF induction) occurred, respectively, in 3 (21%), 9 (27%), 4 (27%), 1 (6%), and 3 (23%) patients. In conclusion, electrophysiological data of asymptomatic WPW are not modified by age of the patient. Elderly patients remain at risk of a dangerous form of WPW; systematic evaluation of WPW is recommended in patients with an active life independent of age.</abstract><subject lang="en"><genre>Keywords</genre><topic>Wolff‐Parkinson‐White syndrome</topic><topic>sudden death</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>2001</date><detail type="volume"><caption>vol.</caption><number>24</number></detail><detail type="issue"><caption>no.</caption><number>10</number></detail><extent unit="pages"><start>1514</start><end>1518</end><total>5</total></extent></part></relatedItem><identifier type="istex">26A4B1A92BDFDB5AAFF13F09F7BFB53D503075E6</identifier><identifier type="DOI">10.1046/j.1460-9592.2001.01514.x</identifier><identifier type="ArticleID">PACE1514</identifier><accessCondition type="use and reproduction" contentType="copyright">© Futura Publishing Company, Inc. 2001</accessCondition><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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