Wolff-Parkinson-White syndrome in young people, from childhood to young adulthood: relationships between age and clinical and electrophysiological findings.
10.3345/kjp.2011.54.12.507
- Author:
Hae Jung JUNG
1
;
Hwang Young JU
;
Myung Chul HYUN
;
Sang Bum LEE
;
Yeo Hyang KIM
Author Information
1. Department of Pediatrics, Kyungpook National University School of Medicine, Daegu, Korea.
- Publication Type:Original Article
- Keywords:
Wolff-Parkinson-White syndrome;
Accessory conducting pathway;
Electrophysiology;
Radiofrequency catheter ablation
- MeSH:
Accessory Atrioventricular Bundle;
Adolescent;
Aged;
Catheter Ablation;
Child;
Electrophysiology;
Female;
Humans;
Male;
Medical Records;
Retrospective Studies;
Sex Characteristics;
Wolff-Parkinson-White Syndrome
- From:Korean Journal of Pediatrics
2011;54(12):507-511
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
