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匹配条件: “Wolff-Parkinson-White syndrome” ,找到相关结果约1000条。
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The Use of Trans-Esophageal Electrophysiology Study to Identify a High Risk Asymptomatic Wolff Parkinson White Syndrome Patient  [PDF]
Manoj Gupta, Walter Hoyt, Christopher S. Snyder
Open Journal of Pediatrics (OJPed) , 2014, DOI: 10.4236/ojped.2014.43030
Abstract: Patients with a Wolff-Parkinson-White (WPW) pattern on their ECG can experience symptoms such as syncope, palpitations, supraventricular tachycardia, and atrial fibrillation, or they can be asymptomatic (aWPW). All patients with WPW, regardless of the presence or absence of symptoms, are at risk of sudden death. Therefore, it is recommended that younger patients with WPW undergo studies to determine their risk. We report a previously asymptomatic WPW patient identified as high risk for sudden death due to rapid conduction down her accessory pathway during atrial fibrillation induced during a trans-esophageal electrophysiology study.
Left ventricular noncompaction associated with hypertrophic cardiomyopathy and Wolff-Parkinson-White syndrome  [PDF]
Luis Alday, Eduardo Moreyra, Eva Bruno, Norma Rossi, Hector Maisuls
Health (Health) , 2010, DOI: 10.4236/health.2010.23029
Abstract: We report a 35-year-old female patient with hypertrophic cardiomyopathy, left ventricular noncompaction, and Wolff-Parkinson-White EKG pattern. Several other family members present the same clinical condition. We speculate that this phenotype is related to the genotypes PRKAG2 and LAMP2 represented by mutations of the genes encoding AMP-activated protein kinase (PRKAG2) and lysosome associated membrane protein 2 (LAMP2).
Frequency of Syncope in Patients with Accessory Atrioventricular Connection
A Aslani,S Kazemi Asl,M Moradi,M Kafi
Iranian Cardiovascular Research Journal , 2010,
Abstract: Background: Syncope in patients with Wolff-Parkinson-White (WPW) syndrome is related to rapid reciprocating tachycardia or rapid ventricular response over the accessory pathway during atrial fibrillation (AF). The aim of this retrospective study is to evaluate the frequency of syncope in patients with WPW syndrome. Methods: We reviewed the records of 150 consecutive patients with WPW syndrome.Results: There were 20 patients (13.3%) who reported at least one episode of syncope and 130 patients (86.7%) without such a history.Conclusion: Syncope is relatively frequent in patients with WPW. Patient with WPW syndrome who has experienced this symptom should be thoroughly evaluated.
Wolff-Parkinson-White Syndrome in Adults: Electrocardiographic Diagnosis and Management in a Resource-Limited Setting in Kisangani, Democratic Republic of Congo (DRC)  [PDF]
Issa Issa Yakusu, Malick Ndiaye, Marguerite Tening Diouf, Salvador Mingou Joseph, Sy Mbaye, Ndeye Faye, Ngor Thiam, Gora Fall, Tshilumba Kayembe, Salomon Batina Agasa, Kane Diallo Baba Nala, Abdoulgabar Souleymane Mohamed, Sow Alioune Badara, Camille Atoba Bokele, Abdoul Kane
World Journal of Cardiovascular Surgery (WJCS) , 2025, DOI: 10.4236/wjcs.2025.155013
Abstract: Background: Wolff-Parkinson-White (WPW) syndrome, a rare but life-threatening arrhythmia, is underdiagnosed in sub-Saharan Africa due to limited healthcare resources. This case highlights the regional uniqueness of managing WPW in Kisangani, DRC, where diagnostic and therapeutic gaps exacerbate patient outcomes. Catheter ablation, the gold standard, remains inaccessible here, necessitating reliance on pharmacotherapy. Case Presentation: A 43-year-old woman presented with three days of sudden-onset palpitations. Electrocardiography (ECG) revealed a PR interval of 90 ms, QRS duration of 130 ms, and delta waves with positive polarity in leads II, III, aVF, and V4-V6. Echocardiography confirmed normal cardiac structure (left ventricular ejection fraction: 65%, left atrial diameter: 34 mm). She was treated with sustained-release flecainide (150 mg/day) and bisoprolol (5 mg/day), achieving symptom resolution within one week. Conclusion: Strengthening arrhythmia care in resource-limited settings requires training, technology transfer, and national registries. Long-term strategies must balance pharmacotherapy with advocacy for ablation access.
La interpretación deductiva de las doce derivaciones (y no tres) del Ecg-12d mejora la determinación de las vías accesorias en 78 casos de síndrome de Wolff-Parkinson-White (Swpw)
Bermúdez-Arias,F; Cano-Ponce,C; Bermúdez-Pirela,V; Baptista-Arrieta,G; Medina,MT; Espinoza,SE; Leal,NY; Barrera,MA;
Archivos Venezolanos de Farmacología y Terapéutica , 2003,
Abstract: abstract introduction and objectives: the wolff-parkinson-white syndrome (short pr interval and functional blockade of branch) is related with accessory pathways bundle (atrial/ventricular) identified originally through 12d-ekg as patterns a, b and c. gallagher, using electrophysiological methods identified 10 sites, but without direction and orientation of the ventricular vectors. the purpose of this study was to establish the initial point and spatial orientation of the initial ventricular vector plus delta wave and abnormal bundle using the 12d-ekg and pointing the left or right, top or bottom and anterior or posterior positions. methods: were studied 78 patients with ages between 2 and 65 years old. 71 of them do not show any other disease and 5 show hypertension and 2 ebstein disease. results: according to bundle position, patients were classified in two groups: a) with left ventricular bundles: bundles 9 (c1) and 7 (a1), according to the sic, with 11 and 10 cases respectively. b) with right ventricular bundles: bundles 1 (b2), 2 (b1), 3(a2), 4, and 6 (a3), according to the sociedad internacional de cardiología (sic) with 26, 5, 21 and 5 cases respectively. all the results agree with electrophysiological patterns: c1(5), a1(4), b2(7), b1(4), a2(7), a3(5 cases). conclusions: detection of abnormal bundles using 12d-ekg will help the electrophysiological studies and thereby the solution of the main complication, arrhythmias, for patient benefit.
Casos clínicos en Cardiología (n.o 4): ni?o de 14 a?os con palpitaciones de inicio brusco
Pérez-Lescure Picarzo,J.; Crespo Marcos,D.;
Pediatría Atención Primaria , 2009, DOI: 10.4321/S1139-76322009000500008
Abstract: we continue the series of clinical cases in paediatric cardiology reviewing common reasons for consultation in the paediatric primary care offices, presented in a brief and practical way. in this paper we present the case of a 14 year old boy with sudden onset palpitations. the way physical exam and electrocardiographic findings guide the diagnosis in this patient is discussed.
Learning curve in performing radiofrequency ablation of accessory pathways in patients with Wolf-Parkinson-White syndrome
Vukajlovi? Dejan,Ne?kovi? Aleksandar N.
Medicinski Pregled , 2006, DOI: 10.2298/mpns0610468v
Abstract: Introduction. This study examines the effect of operator experience on radiofrequency ablation (RFA) of accessory pathways success rate in patients with Wolff-Parkinson-White (WPW) syndrome. Material and methods. The first 100 consecutive patients with WPW syndrome treated by radiofrequency ablation at our Clinic, were divided into group A (first 50 patients) and group B (the following 50 patients). Various parameters were compared between these 2 groups. Results. The success rate in group A was 69% and in group B 92%, p<0,01. There were 6 patients with recurrent WPW syndrome, after 3 months of follow-up, 5 were from group A and 1 from group B, p<0,05. Significantly more applications of radiofrequency energy were delivered in group A (10,0±4,8 in group A and 6,2 ±3,1 in group B, p<0,05). Two patients from group A presented with complications: one had intermittent complete AV-block, and the other pericardial effusion. Conclusion. This study shows a clear learning curve in performing RFA of accessory pathways in patients with WPW syndrome. .
Wolff-Parkinson-White Syndrome and Rheumatic Mitral Stenosis: an Uncommon Coincidence that can Cause Severe Hemodynamic Disturbance
Ahmet Taha Alper,Hakan Hasdemir,Ahmet Akyol
Indian Pacing and Electrophysiology Journal , 2008,
Abstract: The combination of rheumatic mitral stenosis and Wolff-Parkinson-White syndrome is a rare situation. In this case, we are reporting an 72-year-old man presenting with multi-organ failure due to the this combination and successfully treated with radiofrequency ablation during preexcitated atrial fibrillation.
Electrophysiological evaluation of Wolff-Parkinson-White Syndrome
Béatrice Brembilla-Perrot
Indian Pacing and Electrophysiology Journal , 2002,
Abstract: Sudden death might complicate the follow-up of symptomatic patients with the Wolff-Parkinson-White syndrome (WPW) and might be the first event in patients with asymptomatic WPW. The risk of sudden death is increased in some clinical situations. Generally, the noninvasive studies are unable to predict the risk of sudden death correctly . The electrophysiological study is the best means to detect the risk of sudden death and to evaluate the nature of symptoms. Methods used to define the prognosis of WPW are well-defined. At first the maximal rate of conduction through the accessory pathway is evaluated; programmed atrial stimulation using 1 and 2 extrastimuli delivered at different cycle lengths is then used to determine the accessory pathway refractory period and to induce a supraventricular tachycardia. These methods should be performed in the control state and repeated in adrenergic situations either during exercise test or more simply during a perfusion of small doses of isoproterenol. The induction of an atrial fibrillation with rapid conduction through the accessory pathway (> 240/min in control state, > 300/min after isoproterenol) is the sign of a form of WPW at risk of sudden death.
1C-induced atrial flutter in a patient with WPW syndrome: case report and review
R.R. Mamatkazina,I.P. Kolos,S.E. Serdyuk,E.P. Mazygula
Rational Pharmacotherapy in Cardiology , 2012,
Abstract: The clinical case of a rare proarrhythmic effect of antiarrhythmic drugs with a poor prognosis (medication-induced atrial flutter in a patient with "malignant" Kent’s bundle) is presented. Radiofrequency ablation (RFA) is the most justified treatment method in patients with WPW-syndrome and "malignant" Kent’s bundle. RFA in descripted case has been postponed due to technical reasons. While waiting for RFA and after consideration of the potential risks and benefits the decision to use antiarrhythmic drugs to block the additional bundle was made. Paroxysm of broad-complex tachycardia developed on the third day of the treatment. It was regarded as a paroxysm of atrial fibrillation/flutter in the patient with WPW syndrome induced by taking anti-arrhythmic drugs class 1C (allapinine). Review of the literature on the atrial fibrillation induced by antiarrhythmic of 1C class, and association of atrial fibrillation with WPW-syndrome is presented.
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