Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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Wolff-Parkinson-White syndrome in young people, from childhood to young adulthood: relationships between age and clinical and electrophysiological findings

  • Jung, Hae-Jung (Department of Pediatrics, Kyungpook National University School of Medicine) ;
  • Ju, Hwang-Young (Department of Pediatrics, Kyungpook National University School of Medicine) ;
  • Hyun, Myung-Chul (Department of Pediatrics, Kyungpook National University School of Medicine) ;
  • Lee, Sang-Bum (Department of Pediatrics, Kyungpook National University School of Medicine) ;
  • Kim, Yeo-Hyang (Department of Pediatrics, Keimyung University School of Medicine)
  • 투고 : 2011.07.13
  • 심사 : 2011.11.12
  • 발행 : 2011.12.15
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초록

Purpose: The aim of the present study was to evaluate the characteristics of electrophysiologic studies (EPS) and radiofrequency ablation (RFA) performed in subjects aged less than 30 years with Wolff-Parkinson-White (WPW) syndrome, particularly pediatric patients under 18 years of age, based on our experience. Methods: Two hundred and one consecutive patients with WPW syndrome were recruited and divided to 3 groups according to age: group 1, 6 to 17 years; group 2, 18 to 29 years; and group 3, 30 to 60 years. The clinical, electrophysiological, and therapeutic data for these patients were evaluated by a retrospective medical record review. Results: A total of 73 (36%) of these patients were <30 years of age. Although there were more males than females in group 2 (male:female, 31:11), there was no sex difference in group 1 (male:female, 16:15). Left accessory pathway was detected less frequently in group 1 (32%, 10/31) than in group 2 (57%, 24/42) and group 3 (63%, 81/128) (P=0.023 and P=0.002, respectively). Conclusion: The present study describes several different electrophysiological characteristics in children and adolescents with WPW syndrome. Therefore, when EPS and RFA are performed in children and adolescence with WPW syndrome, we recommend that these characteristics be considered.

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참고문헌

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피인용 문헌

  1. Pediatric Tachyarrhythmia and Radiofrequency Catheter Ablation: Results From 1993 to 2011 vol.42, pp.11, 2012, https://doi.org/10.4070/kcj.2012.42.11.735
  2. Electrophysiologic Profile and Results of Invasive Risk Stratification in Asymptomatic Children and Adolescents With the Wolff–Parkinson–White Electrocardiographic Pattern vol.7, pp.2, 2011, https://doi.org/10.1161/circep.113.000930
  3. Radiofrequency catheter ablation for supraventricular tachycardia in a paediatric population: characteristics of tachycardia mechanisms in a subpopulation with early onset vol.30, pp.10, 2011, https://doi.org/10.1017/s1047951120002954