Cogprints

Electrophysiological evaluation of Wolff-Parkinson-White Syndrome

Brembilla-Perrot, Béatrice (2002) Electrophysiological evaluation of Wolff-Parkinson-White Syndrome. [Journal (Paginated)]

Full text available as:

[img]HTML
47Kb

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.

Item Type:Journal (Paginated)
Keywords:Wolff-Parkinson-White syndrome, sudden death, Electrophysiologic study
Subjects:JOURNALS > Indian Pacing and Electrophysiology Journal
ID Code:4303
Deposited By:Indian Pacing and Electrophysiology, Journal
Deposited On:02 May 2005
Last Modified:11 Mar 2011 08:56

References in Article

Select the SEEK icon to attempt to find the referenced article. If it does not appear to be in cogprints you will be forwarded to the paracite service. Poorly formated references will probably not work.

1. Warin JF, Haissaguerre M, Lemetayer P, Guillem JP, Blanchot P. Catheter ablation of accessory pathways with a direct approach. Results in 35 patients. Circulation 1988; 78 : 800-15

2. Jackman WM, Wang X, Friday KJ et al. Catheter ablation of accessory atrioventricular pathway (Wolff-Parkinson-White syndrome) by radiofrequency current. N Engl J Med 1991; 321 : 1605-11

3. Klein GL, Bashore TM, Sellers TD, Pritchett ELC, Smith WM, Gallagher JS. Ventricular fibrillation in the Wolff Parkinson White syndrome. N Engl J Med 1979; 15 : 1080-5

4. Brembilla-Perrot B, Aliot E, Louis P, et al.Devenir de 195 patients atteints de syndrome de Wolff-Parkinson-White. Arch Mal Coeur 1987; 180 : 271-7

5. Beckman NL, Lamb LE. The Wolff-Parkinson-White electrocardiogram; follow-up study of five to twenty-eight years. N Engl J Med 1968 ; 278 : 492

6. Guize L, Soria C, Lavergne T, Le Heuzey JY. Long-term follow-up in large cohort of subjects with Wolff-Parkinson-White syndrome. Eur Heart J 1990 ; 11 : 305 (abstr)

7. Munger TM, Packer DL, Hammill SC et al. A population study of the natural history of Wolff-Parkinson-White syndrome in Olmsted county, Minnesota, 1953-1989. Circulation 1993; 87 : 866-73

8. Fitzsimmons PJ, Mc Whirter PD, Peterson DW, Kruyer WB. The natural history of Wolff-Parkinson-White syndrome in 228 military aviators : a long-term follow-up of 22 years. Am Heart J 2001 ; 142 : 530-6

9. Torner Montoya P, Brugada P, Smeets J et al. Ventricular fibrillation in the Wolff-Parkinson-White syndrome. Eur Heart J 1991 ; 12 : 144-50

10. Timmermans C, Smeets J LRM, Rodriguez LM, Vrouchos G, Van Den Dool A, Wellens HJJ. Aborted sudden death in the Wolff-Parkinson-White syndrome. Am J Cardiol 1995 ; 76 : 492-4

11. Levy S, Broustet JP, Clementy J, Vircoulon P, Guern P, Bricaud H. Syndrome de Wolff Parkinson White . Correlation entre l'exploration électrophysiologique et l'effet de l'épreuve d'effort sur l'aspect électrocardiographique de preexcitation. Arch Mal Coeur 1979 ; 72 : 634-640

12. Bricker JT, Porter CBJ, Garson A, Gillette PC, Mc Vey P, Traweek M, Mc Namara DG. Exercise testing in children with Wolff Parksinson White syndrome. Am J Cardiol 1985; 55 : 1001-4

13. Strasberg B, Ashley WW, Wyndham CRC, Bauerfeind RA, Swiryn SP, Dhingra RC, Rosen KM. Treadmill exercise testing in the Wolff Parkinson White syndrome. Am J Cardiol 1980; 45 : 742-8

14. Daubert C, Ollitraut J, Descaves C, Malso P, Ritter P, Gouffault J. Failure of the exercise test to predict the anterograde refractory period of the accessory pathway in Wolff Parkinson White syndrome. Am J Cardiol 1986; 57 : 782-6

15. Wellens HJJ, Bar FW, Dassen WR, Brugada P, Vanast EJ, Farre J. Effects of drugs in the Wolff Parkinson White syndrome . Importance of initial length of effective refractory period in the accessory pathway. Am J Cardiol 1980; 46 : 665-9

16. Critelli G, Gallagher JJ, Perticone F, Caltorti I, Monda V, Condorelli M. Evaluation of non invasive tests for identifying patients with preexcitation syndrome at risk of rapid ventricular response. Am Heart J 1984; 108 : 905-9

17. Sharma AD, Yee R, Guiraudon G, Klein GJ. Sensitivity and specificity of invasive and noninvasive testing for risk of sudden death in Wolff-Parkinson-White syndrome. J Am Coll Cardiol 1987 ; 10 : 373-41

18. Vignati G, Mauri L, Lunati M, Gasparini M, Figini A. Transoesophageal electrophysiological evaluation of paediatric patients with Wolff-Parkinson-White syndrome. Eur Heart J 1992 ; 13 : 220-2

19. Brembilla-Perrot B, Spatz F, Khaldi E, Terrier de la Chaise A, Le Van D, Pernot C. Value of esophageal pacing in evaluation of supraventricular tachycardia. Am J Cardiol 1990; 65 : 22-30

20. Brembilla-Perrot B, Dechaux JP. Ventricular fibrillation induced by transesophageal atrial pacing in asymptomatic Wolff-Parkinson-White syndrome. Am Heart J 1992 ; 123 : 536-7

21. Crick JC, Davies DW, Holt P, Curry PVL, Sowton E. Effect of exercise on ventricular response to atrial fibrillation in Wolff Parkinson White syndrome. Br Heart J 1985; 54 : 80-5

22. Mabo P, Kermarrec A, Gras J, Paillard F, Bédossa M, Daubert CC. Influence de l'effort sur la perméabilité des voies accessoires et le comportement des arythmies supraventriculaires dans le syndrome de Wolff Parkinson White. Arch Mal Coeur 1992; 85 : 1443-8

23. Wellens HJJ, Brugada P, Roy D, Weiss J, Barr FW. Effect of isoproterenol on the anterograde refractory period of the accessory pathway in patients with the Wolff-Parkinson-White syndrome. Am J cardiol 1981 ; 50 : 180-4

24. Rinne C, Klein GJ, Sharma AD et al. Relationbetween clinical presentation and induced arrhythmias in the Wolff-Parkinson-White syndrome. Am J cardiol 1987 ; 60 : 576-9

25. Bromberg BT, Lindsay BD, Cain ME. Impact of clinical history and electrophysiologic characterization of accessory pathways on mangement strategies to reduce sudden death among children with Wolff-Parkinson-White syndrome. J Am Coll Cardiol 1996 ; 27 : 690-5

26. Brembilla-Perrot B, Terrier de la Chaise A, Marçon F, Cherrier F, Pernot C. Le test à l'Isuprel doit-il être systématique dans le syndrome de Wolff-Parkinson-White. Arch Mal Coeur 1988; 81 : 1227-33

27. Yamamoto T, Yeh SJ, Lin FC, Wu D. Effects of isoproterenol on accessory pathways conduction in intermittent concealed Wolff Parkinson White syndrome. Am J Cardiol 1990; 65 : 1438-42

28. Brembilla-Perrot B, Admand Ph, Le Helloco A, Pernot C. Loss of efficacy of flecainide in the Wolff Parkinson White syndrome after isoproterenol administration.. Eur Heart J 1985; 6 : 1074-8

29. Brembilla-Perrot B, Beurrier D. La voie oesophagienne est -elle préférable à la voie endocavitaire pour évaluer le syndrome de Wolff-Parkinson-White. Arch Mal Coeur 1995; 88 : 353-8

30. Michelucci A, Padeletti L, Monizzi D et al. Atrial electrophysiologic properties of patients with asymptomatic Wolff-Parkinson-White syndrome. Eur J Cardiol 1988; 9 : 479-83

31. Brembilla-Perrot B, Holban I, Houriez P, Claudon O, Beurrier D, Vançon AC. Influence of age on the potential risk of sudden death in asymptomatic Wolff-Parkinson-White syndrome. PACE 2001 ; 24 : 1514-8

32. Brembilla-Perrot B, Terrier De La Chaise A, Isaaz K, Marçon F, Cherrier F, Pernot C. Inducible multiform ventricular tachycardia in Wolff-Parkinson-White syndrome. Br Heart J 1987 ; 58 :89-95

33. Brembilla-Perrot B, Ghawi R. Electrophysiological characteristics of asymptomatic Wolff-Parkinson-White syndrome. Eur Heart J 1993; 14 : 511-5

34.. Milstein S, Sharma AD, Klein GI. Electrophysiologic profile of asymptomatic Wolff-Parkinson-White pattern. Am J Cardiol 1986; 57 : 1097-100

35. Klein GJ, Yee R, Sharma AD. Longitudinal electrophysiologic assessment of asymptomatic patients with the Wolff-Parkinson-White electrocardiographic pattern. N Engl J Med 1989; 320 : 1229-33

36. Leitch JW, Klein GJ, Yee R, Murdock C. Prognostic value of electrophysiology testing in asymptomatic patients with Wolff-Parkinson-White pattern. Circulation 1990; 82 : 1718-23

37. Auricchio A, KleinH, Trappe HJ, Wenzlaff P. Lack of prognostic value of syncope in patients with Wolff-Parkinson-White syndrome. J Am Coll Cardiol 1991 ; 17 : 152-8

38. Paul T, Guccione P, Garson A. Relation of syncope in young patients with Wolff-Parkinson-White syndrome to rapid ventricular response during atrial fibrillation. Am J Cardiol 1990 ; 65 : 318-21

39. Steinbeck G. Should radiofrequency current ablation be performed in asymptomatic patients with the Wolff-Parkinson-White syndrome?. PACE 1993 ; 16 : 649-657

40. Wiedermann CJ, Becker AE, Hopperwieser T, Mühlberger V, Knapp E. Sudden death in young competitive athlete with Wolff-Parkinson-White syndrome. Eur Heart J 1987; 8 : 651-5

41. Perry JC, Garson Ajr. Supraventricular tachycardia due to Wolff-Parkinson-White syndrome in children ; early disappearance and late recurrence. J Am Coll Cardiol 1990; 16 : 1215-20

42. Michelucci A, Padeletti L, Mezzani A, Giovannini T, Miceli M, Cupelli V, Mussante R. Relationship between age and anterograde refractoriness of the accessory pathway in Wolff- Parkinson-White patients. Cardiology 1989; 76 : 220-3

43. Fau W, Peter T, Gang ES, Mandel W. Age-related changes in the clinical and electrophysiologic characteristics of patients with Wolff-Parkinson-White syndrome : comparative study between young and elderly patients. Am Heart J 1991 ; 122 : 741-7

44. Rosenfeld LE, Van Zetta AM, Bastford WP. Comparison of clinical and electrophysiologic features of preexcitation syndrome in patients presenting initially after age 50 years with those presenting at younger age. Am J Cardiol 1991; 67 : 709-12

45. Michelucci A, Padeletti L, Fradella GA, Lower RM, Monizzi D, Gioni A, Fontani F. Aging and atrial electrophysiologic properties in man. Int J Cardiol 1984 ; 5 : 75-81

46. Parmeggiani L, Adamec R, Perrenoud JJ. Flutter auriculaire 1/1 : une des modalités de découverte d'un syndrome de Wolff-Parkinson-White . A propos d'une observation chez un adulte. Arch Mal Coeur 1998; 77 : 111-7

47. Chen SA, Chiang CE, Yang CJ, Chang CC, Wu TJ, Wang SP, Chiang BN, Chang MS. Accessory pathway and atrioventricular mode reentrant tachycardia in elderly patients : clinical features, electrophysiologic characteristics and results of radiofrequency ablation. J Am Coll Cardiol 1994; 23 : 702-8

Metadata

Repository Staff Only: item control page