Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases

ÇETİN, İbrahim İlker; KARADENİZ BİLGİN, Leyla; EKİCİ, Filiz

Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases

Filiz EKİCİ, (Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim ve Anıştırma Hastanesi, Çocuk Kardiyoloji Kliniği, Ankara, Türkiye)

İbrahim İlker ÇETİN, (Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim ve Anıştırma Hastanesi, Çocuk Kardiyoloji Kliniği, Ankara, Türkiye)

Leyla KARADENİZ BİLGİN (Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim ve Araştırma Hastanesi, Yenidoğan Kliniği, Ankara, Türkiye)

Türkiye Çocuk Hastalıkları Dergisi

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Yıl: 2011 Cilt: 5 Sayı: 4 Sayfa Aralığı: 220 - 230 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases

Öz:

Amaç: Wolff Parkinson- White (WPW) elektrokardiyografik paterni saptanan çocuk hastaların demografik özellikleri, başvuru yakınmaları, elektrokardiyografik ve ekokardiyografik özellikleri ve tedavi yöntemleri değerlendirilmiştir. Materyal ve Yöntem: Bu çalışma tek bir merkezde ve üçüncü basamak araştırma hastanesinde 2009-2011 yılları arasında retrospektif olarak yapılmıştır. Yüzeyel EKG de WPW paterni saptanan 21 çocuk olgu (1 gün-15 yaş) çalışmaya dahil edildi. Hastalar asemptomatik veya Semptomatik olmak üzere iki gruba ayrıldı. Bulgular: Olguların çoğu (13 olgu, ortalama yaş: 6.0 yıl) tanı anında ve çalışma süresince asemptomatikti. Disritmi ile ilişkili semptomlar 8 olguda (ortalama yaş: 9.1 yıl) belirlendi. Gruplar arasında cinsiyet bakımından fark saptanmadı. Başvuru semptomları: dört olguda çarpıntı ve bir olguda senkop idi. Üç olgu Supraventriküler taşikardi atağı ile başvurdu ve SVTli olguların tümünde intermittent tipte WPW paterni ve erkek cinsiyet predominansı saptandı. Ekokardiyografi ile yedi olguda mitral kapak prolapsusu, üç olguda hipertrofik kardiyomiyopati, bir olguda aort yetersizliği ve bir olguda Ebstein anomalisi saptandı. SVT ataklarında Amiodoron veya Adenozin ile başarılı tedavi sağlandı. Çalışma süresince olguların hiçbirisinde ani ölüm gözlenmedi. Sonuç: WPW elektrokardiyografik paterni tanısı alan çocuklara uygun tedavi uygulanmalıdır.

Anahtar Kelime:

Konular: Pediatri

Wolff- parkinson-white elektrokardiyografik paterni saptanan çocuklarda klinik değerlendirme ve semptomatik olguların sunumu

Öz:

Aims: To evaluate the children with electrocardiographic pattern of Wolff-Parkinson-White (WPW) and review their demographic features, presenting symptoms, electrocardiographic, echocardiographic findings, and management. Methods: The study was conducted in a single tertiary research hospital from 2009 to 2011, retrospectively. Twentyone children (1 day to 15 years) with a WPW pattern on surface ECG were included in this study. We classified patients into two groups as Asymptomatic and Symptomatic Group . Results: Most children were asymptomatic (13 cases, mean age: 6.0 years) at the diagnosis and during the study period. Symptoms related to dysrhtyhmia were recognized in 8 cases (mean age: 9.1 years) and most common in school age children. There were no gender predominance between two groups. The symptoms were palpitations in 4 cases and syncope in one case. Three cases presented with attack of supraventricular tachycardia (SVT). They also had intermittent nature of WPW and male predominance. Echocardiography revealed mitral valve prolapsus in 7, hypertrophic cardiomyopathy in 3, aortic regurgitation in 1 and Ebstein abnormality in 1 case. SVT were successfully treated with Amiodoron or Adenosine. No patient died suddenly during the study period. Conclusion: Children with electrocardiographic pattern of WPW should be recognized and managed properly.

Anahtar Kelime:

Konular: Pediatri

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Lee KW, Badhwar N, Scheinman MM. Supraventricular tachycardia-- part I. Curr Probl Cardiol 2008;33(9):467-46.
2. Kibos A, Deharo JC, Adoubi A, Assouan X, Djianeb P. Clinical and electrophysiological study of asymptomatic Wolff-Parkinson- White syndrome. Ann Cardiol Angeiol (Paris) 2007;56(5):237-40.
3. Medeiros A, Iturralde P, Guevara M, Mendoza C, Colín L. Sudden death in intermittent Wolff Parkinson White syndrome. Arch Cardiol Mex 2001;71(1):59-65.
4. Goudevenos JA, Katsouras CS, Graekas G, Argiri O, Giogiakas V, Sideris DA. Ventricular pre-excitation in the general population: a study on the mode of presentation and clinical course. Heart 2000;83(1):2934.
5. Lee PC, Hwang B, Chen YJ, Tai CT, Chen SA, Chiang CE. Electrophysiologic characteristics and radiofrequency catheter ablation in children with Wolff-Parkinson-White syndrome. Pacing Clin Electrophysiol 2006;29(5):490-95.
6. Fitzpatrick AP, Gonzales RP, Lesh MD, Modin GW, Lee RJ, Scheinman MM. New algorithm for the localization of accessory atrioventricular connections using a baseline electrocardiogram. J Am Coll Cardiol 1994;23(1):107-16.
7. Munger TM, Packer DL, Hammill SC, Feldman BJ, Bailey KR, Ballard DJ, et al. A population study of the natural history of Wolff- Parkinson-White syndrome in Olmsted County, Minnesota, 1953 1989. Circulation 1993;87(3):86673.
8. Guize L, Soria R, Chaouat JC,Chrétien JM, Houe D, Le Heuzey JY. Prevalence and course of Wolff-Parkinson-White syndrome in population of 138,048 subjects. Ann Med Interne (Paris) 1985;136(6):474-8.
9. Sano S, Komori S, Amano T, Kohno I, Ishihara T, Sawanobori T, et al. Prevalence of ventricular preexcitation in Japanese schoolchildren. Heart 1998;79(4):374-8.
10. Paul T, Guccione P, Garson A Jr. Relation of syncope in young patients with Wolff-Parkinson-White syndrome to rapid ventricular response during atrial fibrillation. Am J Cardiol 1990;65(5):318-21.
11. Timmermans C, Smeets JL, Rodriguez LM, Vrouchos G, van den Dool A, Wellens HJ. Aborted sudden death in Wolff-Parkinson- White syndrome. Am J Cardiol 1995;76(7):492-4.
12. Delhaas T, Sarvaas GJ, Rijlaarsdam ME, Strengers JL, Eveleigh RM, Poulino SE, et al. A multicenter, long-term study on arrhythmias in children with Ebstein anomaly. Pediatr Cardiol 2010;31(2):229-33.
13. Aleong RG, Singh SM, Levinson JR, Milan DJ. Catecholamine challenge unmasking high-risk features in the Wolff-Parkinson- White syndrome. Europace 2009;11(10):1396-98.
14. Wellens HJ. Should catheter ablation be performed in asymptomatic patients with Wolff-Parkinson-White syndrome? When to perform catheter ablation in asymptomatic patients with a Wolff-Parkinson- White electrocardiogram. Circulation 2005;112(14):2201-7.
15. Blomström-Lundqvist C, Scheinman MM, Aliot EM, Alpert JS, Calkins H, Camm AJ, et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias: executive summary: a report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias) Circulation 2003;108(15):1871-909.
16. Pappone C, Santinelli V. Should catheter ablation be performed in asymptomatic patients with Wolff-Parkinson-White syndrome? Catheter ablation should be performed in asymptomatic patients with Wolff-Parkinson-White syndrome. Circulation 2005;112(14):2207-15.
17. Pappone C, Santinelli V, Rosanio S, Vicedomini G, Nardi S, Pappone A, et al. Usefulness of invasive electrophysiologic testing to stratify the risk of arrhythmic events in asymptomatic patients with Wolff-Parkinson-White pattern: results from a large prospective long-term follow-up study. J Am Coll Cardiol 2003;41(2);239-44.
18. Gaita F, Giustetto C, Riccardi R, Mangiardi L, Brusca A. Stress and pharmacologic tests as methods to identify patients with Wolff- Parkinson-White syndrome at risk of sudden death. Am J Cardiol 1989;64(8):487-90.
19. Zhang LP, Hui B, Gao BR. High risk of sudden death associated with a PRKAG2-related familial Wolff-Parkinson-White syndrome. J Electrocardiol 2011;44(4):483-6.

APA	EKİCİ F, ÇETİN İ, KARADENİZ BİLGİN L (2011). Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases. , 220 - 230.
Chicago	EKİCİ Filiz,ÇETİN İbrahim İlker,KARADENİZ BİLGİN Leyla Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases. (2011): 220 - 230.
MLA	EKİCİ Filiz,ÇETİN İbrahim İlker,KARADENİZ BİLGİN Leyla Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases. , 2011, ss.220 - 230.
AMA	EKİCİ F,ÇETİN İ,KARADENİZ BİLGİN L Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases. . 2011; 220 - 230.
Vancouver	EKİCİ F,ÇETİN İ,KARADENİZ BİLGİN L Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases. . 2011; 220 - 230.
IEEE	EKİCİ F,ÇETİN İ,KARADENİZ BİLGİN L "Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases." , ss.220 - 230, 2011.
ISNAD	EKİCİ, Filiz vd. "Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases". (2011), 220-230.

APA	EKİCİ F, ÇETİN İ, KARADENİZ BİLGİN L (2011). Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases. Türkiye Çocuk Hastalıkları Dergisi, 5(4), 220 - 230.
Chicago	EKİCİ Filiz,ÇETİN İbrahim İlker,KARADENİZ BİLGİN Leyla Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases. Türkiye Çocuk Hastalıkları Dergisi 5, no.4 (2011): 220 - 230.
MLA	EKİCİ Filiz,ÇETİN İbrahim İlker,KARADENİZ BİLGİN Leyla Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases. Türkiye Çocuk Hastalıkları Dergisi, vol.5, no.4, 2011, ss.220 - 230.
AMA	EKİCİ F,ÇETİN İ,KARADENİZ BİLGİN L Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases. Türkiye Çocuk Hastalıkları Dergisi. 2011; 5(4): 220 - 230.
Vancouver	EKİCİ F,ÇETİN İ,KARADENİZ BİLGİN L Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases. Türkiye Çocuk Hastalıkları Dergisi. 2011; 5(4): 220 - 230.
IEEE	EKİCİ F,ÇETİN İ,KARADENİZ BİLGİN L "Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases." Türkiye Çocuk Hastalıkları Dergisi, 5, ss.220 - 230, 2011.
ISNAD	EKİCİ, Filiz vd. "Clinical evaluation of children with electrocardiographic pattern of wolff-parkinson-white and presenting of symptomatic cases". Türkiye Çocuk Hastalıkları Dergisi 5/4 (2011), 220-230.