Exercise testing in children with Wolff-Parkinson-white syndrome
Identifieur interne : 000875 ( Main/Corpus ); précédent : 000874; suivant : 000876Exercise testing in children with Wolff-Parkinson-white syndrome
Auteurs : J. Timothy Bricker ; Co-Burn J. Porter ; Arthur Garson Jr. ; Paul C. Gillette ; Pat Mcvey ; Malinda Traweek ; Dan G. McnamaraSource :
- The American Journal of Cardiology [ 0002-9149 ] ; 1984.
Abstract
Exercise testing using a modified Bruce treadmill protocol was performed by 17 children with Wolff-Parkinson-White (WPW) syndrome. All had intracardiac electrophysiology studies as well. Endurance time, heart rate and blood pressure were normal during exercise. Ventricular premature complexes were seen with exercise in 2 patients and supraventricular tachycardia with exercise testing was seen in 2. Disappearance of the delta wave with exercise correlated with a long anterograde effective refractory period of the Kent bundle (360 to 390 ms). Children with partial normalization of the QRS during exercise had a longer anterograde effective refractory period of the Kent bundle than those in whom preexcitation persisted. In 1 patient, disappearance of the delta wave with exercise confirmed the diagnosis of WPW syndrome. Preexcitation was seen only after exercise in 1 patient. Exercise testing is of value in the evaluation of children with WPW syndrome; children with WPW syndrome who have total normalization of the QRS interval during exercise and few or no symptoms of tachycardia do not require electrophysiologic study. Address for reprints: J. Timothy Bricker, MD, Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.
Url:
DOI: 10.1016/0002-9149(85)90734-9
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Porter</name><affiliation><mods:affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</mods:affiliation></affiliation></author><author><name sortKey="Garson Jr, Arthur" sort="Garson Jr, Arthur" uniqKey="Garson Jr A" first="Arthur" last="Garson Jr.">Arthur Garson Jr.</name><affiliation><mods:affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</mods:affiliation></affiliation></author><author><name sortKey="Gillette, Paul C" sort="Gillette, Paul C" uniqKey="Gillette P" first="Paul C." last="Gillette">Paul C. Gillette</name><affiliation><mods:affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</mods:affiliation></affiliation></author><author><name sortKey="Mcvey, Pat" sort="Mcvey, Pat" uniqKey="Mcvey P" first="Pat" last="Mcvey">Pat Mcvey</name><affiliation><mods:affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</mods:affiliation></affiliation></author><author><name sortKey="Traweek, Malinda" sort="Traweek, Malinda" uniqKey="Traweek M" first="Malinda" last="Traweek">Malinda Traweek</name><affiliation><mods:affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</mods:affiliation></affiliation></author><author><name sortKey="Mcnamara, Dan G" sort="Mcnamara, Dan G" uniqKey="Mcnamara D" first="Dan G." last="Mcnamara">Dan G. 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Gillette</name><affiliation><mods:affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</mods:affiliation></affiliation></author><author><name sortKey="Mcvey, Pat" sort="Mcvey, Pat" uniqKey="Mcvey P" first="Pat" last="Mcvey">Pat Mcvey</name><affiliation><mods:affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</mods:affiliation></affiliation></author><author><name sortKey="Traweek, Malinda" sort="Traweek, Malinda" uniqKey="Traweek M" first="Malinda" last="Traweek">Malinda Traweek</name><affiliation><mods:affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</mods:affiliation></affiliation></author><author><name sortKey="Mcnamara, Dan G" sort="Mcnamara, Dan G" uniqKey="Mcnamara D" first="Dan G." last="Mcnamara">Dan G. Mcnamara</name><affiliation><mods:affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine 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="1984">1984</date><biblScope unit="volume">55</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1001">1001</biblScope><biblScope unit="page" to="1004">1004</biblScope></imprint><idno type="ISSN">0002-9149</idno></series><idno type="istex">98FA83D3432857B4980AF1987B8FB20E3F87FB25</idno><idno type="DOI">10.1016/0002-9149(85)90734-9</idno><idno type="PII">0002-9149(85)90734-9</idno><idno type="ArticleID">85907349</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">Exercise testing using a modified Bruce treadmill protocol was performed by 17 children with Wolff-Parkinson-White (WPW) syndrome. All had intracardiac electrophysiology studies as well. Endurance time, heart rate and blood pressure were normal during exercise. Ventricular premature complexes were seen with exercise in 2 patients and supraventricular tachycardia with exercise testing was seen in 2. Disappearance of the delta wave with exercise correlated with a long anterograde effective refractory period of the Kent bundle (360 to 390 ms). Children with partial normalization of the QRS during exercise had a longer anterograde effective refractory period of the Kent bundle than those in whom preexcitation persisted. In 1 patient, disappearance of the delta wave with exercise confirmed the diagnosis of WPW syndrome. Preexcitation was seen only after exercise in 1 patient. Exercise testing is of value in the evaluation of children with WPW syndrome; children with WPW syndrome who have total normalization of the QRS interval during exercise and few or no symptoms of tachycardia do not require electrophysiologic study. Address for reprints: J. Timothy Bricker, MD, Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>J.Timothy Bricker MD</name><affiliations><json:string>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</json:string></affiliations></json:item><json:item><name>Co-Burn J. Porter MD</name><affiliations><json:string>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</json:string></affiliations></json:item><json:item><name>Arthur Garson, Jr. MD</name><affiliations><json:string>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</json:string></affiliations></json:item><json:item><name>Paul C. Gillette MD</name><affiliations><json:string>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</json:string></affiliations></json:item><json:item><name>Pat McVey RN</name><affiliations><json:string>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</json:string></affiliations></json:item><json:item><name>Malinda Traweek MS</name><affiliations><json:string>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</json:string></affiliations></json:item><json:item><name>Dan G. McNamara MD</name><affiliations><json:string>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Arrhythmias and conduction disturbances</value></json:item></subject><articleId><json:string>85907349</json:string></articleId><language><json:string>eng</json:string></language><abstract>Exercise testing using a modified Bruce treadmill protocol was performed by 17 children with Wolff-Parkinson-White (WPW) syndrome. All had intracardiac electrophysiology studies as well. Endurance time, heart rate and blood pressure were normal during exercise. Ventricular premature complexes were seen with exercise in 2 patients and supraventricular tachycardia with exercise testing was seen in 2. Disappearance of the delta wave with exercise correlated with a long anterograde effective refractory period of the Kent bundle (360 to 390 ms). Children with partial normalization of the QRS during exercise had a longer anterograde effective refractory period of the Kent bundle than those in whom preexcitation persisted. In 1 patient, disappearance of the delta wave with exercise confirmed the diagnosis of WPW syndrome. Preexcitation was seen only after exercise in 1 patient. Exercise testing is of value in the evaluation of children with WPW syndrome; children with WPW syndrome who have total normalization of the QRS interval during exercise and few or no symptoms of tachycardia do not require electrophysiologic study. Address for reprints: J. Timothy Bricker, MD, Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</abstract><qualityIndicators><score>4.721</score><pdfVersion>1.3</pdfVersion><pdfPageSize>612 x 828 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>1</keywordCount><abstractCharCount>1262</abstractCharCount><pdfWordCount>2501</pdfWordCount><pdfCharCount>16964</pdfCharCount><pdfPageCount>4</pdfPageCount><abstractWordCount>185</abstractWordCount></qualityIndicators><title>Exercise testing in children with Wolff-Parkinson-white syndrome</title><pii><json:string>0002-9149(85)90734-9</json:string></pii><genre><json:string>research-article</json:string></genre><host><volume>55</volume><pii><json:string>S0002-9149(00)X0851-X</json:string></pii><pages><last>1004</last><first>1001</first></pages><issn><json:string>0002-9149</json:string></issn><issue>8</issue><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><title>The American Journal of Cardiology</title><publicationDate>1985</publicationDate></host><publicationDate>1984</publicationDate><copyrightDate>1985</copyrightDate><doi><json:string>10.1016/0002-9149(85)90734-9</json:string></doi><id>98FA83D3432857B4980AF1987B8FB20E3F87FB25</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/98FA83D3432857B4980AF1987B8FB20E3F87FB25/fulltext/pdf</uri></json:item><json:item><original>true</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/98FA83D3432857B4980AF1987B8FB20E3F87FB25/fulltext/txt</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/98FA83D3432857B4980AF1987B8FB20E3F87FB25/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/98FA83D3432857B4980AF1987B8FB20E3F87FB25/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Exercise testing in children with Wolff-Parkinson-white syndrome</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>ELSEVIER</p></availability><date>1985</date></publicationStmt><notesStmt><note>This study was supported in part by General Clinic Research Branch Grant RR-00188, United States Public Health Service Grant HL-07190, Research Career Development Award HL-00571, and Young Investigator's Award HL-24916 from the National Institutes of Health, Bethesda, Maryland, and the Women's Auxiliary of Texas Children's Hospital, Houston, Texas.</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Exercise testing in children with Wolff-Parkinson-white syndrome</title><author><persName><forename type="first">J.Timothy</forename><surname>Bricker</surname></persName><roleName type="degree">MD</roleName><note type="biography">Address for reprints: J. Timothy Bricker, MD, Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</note><affiliation>Address for reprints: J. Timothy Bricker, MD, Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</affiliation><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</affiliation></author><author><persName><forename type="first">Co-Burn J.</forename><surname>Porter</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</affiliation></author><author><persName><forename type="first">Arthur</forename><surname>Garson, Jr.</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</affiliation></author><author><persName><forename type="first">Paul C.</forename><surname>Gillette</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</affiliation></author><author><persName><forename type="first">Pat</forename><surname>McVey</surname></persName><roleName type="degree">RN</roleName><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</affiliation></author><author><persName><forename type="first">Malinda</forename><surname>Traweek</surname></persName><roleName type="degree">MS</roleName><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</affiliation></author><author><persName><forename type="first">Dan G.</forename><surname>McNamara</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine 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)X0851-X</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1984"></date><biblScope unit="volume">55</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1001">1001</biblScope><biblScope unit="page" to="1004">1004</biblScope></imprint></monogr><idno type="istex">98FA83D3432857B4980AF1987B8FB20E3F87FB25</idno><idno type="DOI">10.1016/0002-9149(85)90734-9</idno><idno type="PII">0002-9149(85)90734-9</idno><idno type="ArticleID">85907349</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1985</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Exercise testing using a modified Bruce treadmill protocol was performed by 17 children with Wolff-Parkinson-White (WPW) syndrome. All had intracardiac electrophysiology studies as well. Endurance time, heart rate and blood pressure were normal during exercise. Ventricular premature complexes were seen with exercise in 2 patients and supraventricular tachycardia with exercise testing was seen in 2. Disappearance of the delta wave with exercise correlated with a long anterograde effective refractory period of the Kent bundle (360 to 390 ms). Children with partial normalization of the QRS during exercise had a longer anterograde effective refractory period of the Kent bundle than those in whom preexcitation persisted. In 1 patient, disappearance of the delta wave with exercise confirmed the diagnosis of WPW syndrome. Preexcitation was seen only after exercise in 1 patient. Exercise testing is of value in the evaluation of children with WPW syndrome; children with WPW syndrome who have total normalization of the QRS interval during exercise and few or no symptoms of tachycardia do not require electrophysiologic study. Address for reprints: J. Timothy Bricker, MD, Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</p></abstract><textClass><keywords scheme="keyword"><list><head>Article category</head><item><term>Arrhythmias and conduction disturbances</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1984-12-31">Registration</change><change when="1984-12-26">Modified</change><change when="1984">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>85907349</aid><ce:pii>0002-9149(85)90734-9</ce:pii><ce:doi>10.1016/0002-9149(85)90734-9</ce:doi><ce:copyright type="unknown" year="1985"></ce:copyright><ce:doctopics><ce:doctopic><ce:text>Arrhythmias and conduction disturbances</ce:text></ce:doctopic></ce:doctopics></item-info><head><ce:article-footnote><ce:label>☆</ce:label><ce:note-para>This study was supported in part by General Clinic Research Branch Grant RR-00188, United States Public Health Service Grant HL-07190, Research Career Development Award HL-00571, and Young Investigator's Award HL-24916 from the National Institutes of Health, Bethesda, Maryland, and the Women's Auxiliary of Texas Children's Hospital, Houston, Texas.</ce:note-para></ce:article-footnote><ce:title>Exercise testing in children with Wolff-Parkinson-white syndrome</ce:title><ce:author-group><ce:author><ce:given-name>J.Timothy</ce:given-name><ce:surname>Bricker</ce:surname><ce:degrees>MD</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">a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup loc="post">b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Co-Burn J.</ce:given-name><ce:surname>Porter</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup loc="post">b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Arthur</ce:given-name><ce:surname>Garson</ce:surname><ce:suffix>Jr.</ce:suffix><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup loc="post">b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Paul C.</ce:given-name><ce:surname>Gillette</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup loc="post">b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Pat</ce:given-name><ce:surname>McVey</ce:surname><ce:degrees>RN</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup loc="post">b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Malinda</ce:given-name><ce:surname>Traweek</ce:surname><ce:degrees>MS</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup loc="post">b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Dan G.</ce:given-name><ce:surname>McNamara</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup loc="post">b</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>a</ce:label><ce:textfn>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</ce:textfn></ce:affiliation><ce:affiliation id="AFF2"><ce:label>b</ce:label><ce:textfn>From the Texas Children's Hospital, Houston, Texas, USA</ce:textfn></ce:affiliation><ce:correspondence id="COR1"><ce:label>∗</ce:label><ce:text>Address for reprints: J. Timothy Bricker, MD, Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</ce:text></ce:correspondence></ce:author-group><ce:date-received day="8" month="11" year="1984"></ce:date-received><ce:date-revised day="26" month="12" year="1984"></ce:date-revised><ce:date-accepted day="31" month="12" year="1984"></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">Exercise testing using a modified Bruce treadmill protocol was performed by 17 children with Wolff-Parkinson-White (WPW) syndrome. All had intracardiac electrophysiology studies as well. Endurance time, heart rate and blood pressure were normal during exercise. Ventricular premature complexes were seen with exercise in 2 patients and supraventricular tachycardia with exercise testing was seen in 2. Disappearance of the delta wave with exercise correlated with a long anterograde effective refractory period of the Kent bundle (360 to 390 ms). Children with partial normalization of the QRS during exercise had a longer anterograde effective refractory period of the Kent bundle than those in whom preexcitation persisted. In 1 patient, disappearance of the delta wave with exercise confirmed the diagnosis of WPW syndrome. Preexcitation was seen only after exercise in 1 patient. Exercise testing is of value in the evaluation of children with WPW syndrome; children with WPW syndrome who have total normalization of the QRS interval during exercise and few or no symptoms of tachycardia do not require electrophysiologic study. Address for reprints: J. Timothy Bricker, MD, Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</ce:simple-para></ce:abstract-sec></ce:abstract></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Exercise testing in children with Wolff-Parkinson-white syndrome</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Exercise testing in children with Wolff-Parkinson-white syndrome</title></titleInfo><name type="personal"><namePart type="given">J.Timothy</namePart><namePart type="family">Bricker</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</affiliation><description>Address for reprints: J. Timothy Bricker, MD, Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Co-Burn J.</namePart><namePart type="family">Porter</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Arthur</namePart><namePart type="family">Garson, Jr.</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Paul C.</namePart><namePart type="family">Gillette</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Pat</namePart><namePart type="family">McVey</namePart><namePart type="termsOfAddress">RN</namePart><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Malinda</namePart><namePart type="family">Traweek</namePart><namePart type="termsOfAddress">MS</namePart><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Dan G.</namePart><namePart type="family">McNamara</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine 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">1984</dateIssued><dateValid encoding="w3cdtf">1984-12-31</dateValid><dateModified encoding="w3cdtf">1984-12-26</dateModified><copyrightDate encoding="w3cdtf">1985</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">Exercise testing using a modified Bruce treadmill protocol was performed by 17 children with Wolff-Parkinson-White (WPW) syndrome. All had intracardiac electrophysiology studies as well. Endurance time, heart rate and blood pressure were normal during exercise. Ventricular premature complexes were seen with exercise in 2 patients and supraventricular tachycardia with exercise testing was seen in 2. Disappearance of the delta wave with exercise correlated with a long anterograde effective refractory period of the Kent bundle (360 to 390 ms). Children with partial normalization of the QRS during exercise had a longer anterograde effective refractory period of the Kent bundle than those in whom preexcitation persisted. In 1 patient, disappearance of the delta wave with exercise confirmed the diagnosis of WPW syndrome. Preexcitation was seen only after exercise in 1 patient. Exercise testing is of value in the evaluation of children with WPW syndrome; children with WPW syndrome who have total normalization of the QRS interval during exercise and few or no symptoms of tachycardia do not require electrophysiologic study. Address for reprints: J. Timothy Bricker, MD, Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</abstract><note>This study was supported in part by General Clinic Research Branch Grant RR-00188, United States Public Health Service Grant HL-07190, Research Career Development Award HL-00571, and Young Investigator's Award HL-24916 from the National Institutes of Health, Bethesda, Maryland, and the Women's Auxiliary of Texas Children's Hospital, Houston, Texas.</note><subject><genre>Article category</genre><topic>Arrhythmias and conduction disturbances</topic></subject><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">19850401</dateIssued></originInfo><identifier type="ISSN">0002-9149</identifier><identifier type="PII">S0002-9149(00)X0851-X</identifier><part><date>19850401</date><detail type="volume"><number>55</number><caption>vol.</caption></detail><detail type="issue"><number>8</number><caption>no.</caption></detail><extent unit="issue pages"><start>871</start><end>1120</end></extent><extent unit="pages"><start>1001</start><end>1004</end></extent></part></relatedItem><identifier type="istex">98FA83D3432857B4980AF1987B8FB20E3F87FB25</identifier><identifier type="DOI">10.1016/0002-9149(85)90734-9</identifier><identifier type="PII">0002-9149(85)90734-9</identifier><identifier type="ArticleID">85907349</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata><enrichments><istex:refBibTEI uri="https://api.istex.fr/document/98FA83D3432857B4980AF1987B8FB20E3F87FB25/enrichments/refBib"><teiHeader></teiHeader><text><front></front><body></body><back><listBibl><biblStruct><analytic><title level="a" type="main">Atypical bundle branch block with short P-R interval in Grave's disease, effect of thyroidectomy</title><author><persName><surname>Master Am</surname></persName></author><author><persName><surname>Jaffe Hl</surname></persName></author><author><persName><surname>Dack</surname></persName></author></analytic><monogr><title level="j">J Mt Sinai Hosp</title><imprint><biblScope unit="volume">4</biblScope><date type="published" when="1937"></date></imprint></monogr></biblStruct><biblStruct><analytic><title level="a" type="main">Syndrome of short PR interval with abnormal QRS complexes and paroxysmal tachycardia</title><author><persName><forename type="middle">L</forename><surname>Wolfi</surname></persName></author><author><persName><surname>White</surname></persName></author></analytic><monogr><title level="j">Arch Intern Med</title><imprint><publisher>_</publisher><publisher>_</publisher><biblScope unit="volume">62</biblScope><biblScope unit="page" from="446" to="467"></biblScope><date type="published" when="1946"></date></imprint></monogr></biblStruct><biblStruct><analytic><title level="a" type="main">Effect of exercise on electrocardiogram of bundle branch block</title><author><persName><forename type="middle">H</forename><surname>Fell</surname></persName></author><author><persName><surname>Brofman</surname></persName></author><author><persName><surname>Bl</surname></persName></author></analytic><monogr><title level="j">Am Heart J</title><imprint><biblScope unit="volume">45</biblScope><biblScope unit="page" from="655" to="575"></biblScope><date type="published" when="1953"></date></imprint></monogr></biblStruct><biblStruct><analytic><title level="a" type="main">Multiple variations of VirpW conduction in one subject. 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