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Clinical Course and Treatment of Children and Adolescents with The Preexcitation Syndrome − Own Studies

INTRODUCTION: Essentially, preexcitation syndrome is the presence of an accessory pathway in the heart, which can lead to serious consequences, ranging from atrioventricular reentrant tachycardia to sudden cardiac death. Wolff-Parkinson-White syndrome is the most common preexcitation syndrome. AIM O...

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Autores principales: Stasiak, Aleksandra, Niewiadomska-Jarosik, Katarzyna, Kędziora, Piotr
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sciendo 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8522904/
https://www.ncbi.nlm.nih.gov/pubmed/30056397
http://dx.doi.org/10.34763/devperiodmed.20182202.113122
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author Stasiak, Aleksandra
Niewiadomska-Jarosik, Katarzyna
Kędziora, Piotr
author_facet Stasiak, Aleksandra
Niewiadomska-Jarosik, Katarzyna
Kędziora, Piotr
author_sort Stasiak, Aleksandra
collection PubMed
description INTRODUCTION: Essentially, preexcitation syndrome is the presence of an accessory pathway in the heart, which can lead to serious consequences, ranging from atrioventricular reentrant tachycardia to sudden cardiac death. Wolff-Parkinson-White syndrome is the most common preexcitation syndrome. AIM OF THE STUDY: The aim of the study was to evaluate the clinical course of the disease, as well as the treatment of children and adolescents hospitalized in the Department of Pediatric Cardiology in the years 2008-2015. MATERIALS AND METHODS: The study was carried out in 45 children (62 % male, 38% female; the mean age 11 years). During the study we analyzed 12-lead ECG, 24-hour Holter ECG, echocardiography and the cycloergometric exercise test. The results of treatment were also discussed. RESULTS: Apart from the typical features of preexcitation, the most prevalent abnormality found in ECG was atrioventricular reentrant tachycardia. In 24-hour Holter ECG the most frequently detected disorders were premature ventricular beats and premature atrial contractions. Structural heart defects were detected in 8.9% of the children. The cycloergometric exercise test was positive in 8.9% of patients. The mean duration of symptoms before the diagnosis was 2.5 years. 25% of the patients were asymptomatic. 42.2% of the children needed antiarrhythmic therapy, while 44.4% had accessory pathways ablated. CONCLUSIONS: The most common symptom of preexcitation in the study group were heart palpitations. The most frequent type of arrhythmia in children with preexcitation syndrome was orthodromic atrioventricular reentrant tachycardia. For the majority of older children ablation of the accessory pathway was a recommended form of treatment. In younger children the standard preventive pharmacological treatment was applied for 6 to 12 months. Charakterystyczną cechą zespołów preekscytacji jest obecność dodatkowej, nieprawidłowej drogi przewodzenia w sercu. Najczęstszym typem zespołu preekscytacji jest zespół Wolffa-Parkinsona-White’a.
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spelling pubmed-85229042021-11-19 Clinical Course and Treatment of Children and Adolescents with The Preexcitation Syndrome − Own Studies Stasiak, Aleksandra Niewiadomska-Jarosik, Katarzyna Kędziora, Piotr Dev Period Med Original Articles/Prace Oryginalne INTRODUCTION: Essentially, preexcitation syndrome is the presence of an accessory pathway in the heart, which can lead to serious consequences, ranging from atrioventricular reentrant tachycardia to sudden cardiac death. Wolff-Parkinson-White syndrome is the most common preexcitation syndrome. AIM OF THE STUDY: The aim of the study was to evaluate the clinical course of the disease, as well as the treatment of children and adolescents hospitalized in the Department of Pediatric Cardiology in the years 2008-2015. MATERIALS AND METHODS: The study was carried out in 45 children (62 % male, 38% female; the mean age 11 years). During the study we analyzed 12-lead ECG, 24-hour Holter ECG, echocardiography and the cycloergometric exercise test. The results of treatment were also discussed. RESULTS: Apart from the typical features of preexcitation, the most prevalent abnormality found in ECG was atrioventricular reentrant tachycardia. In 24-hour Holter ECG the most frequently detected disorders were premature ventricular beats and premature atrial contractions. Structural heart defects were detected in 8.9% of the children. The cycloergometric exercise test was positive in 8.9% of patients. The mean duration of symptoms before the diagnosis was 2.5 years. 25% of the patients were asymptomatic. 42.2% of the children needed antiarrhythmic therapy, while 44.4% had accessory pathways ablated. CONCLUSIONS: The most common symptom of preexcitation in the study group were heart palpitations. The most frequent type of arrhythmia in children with preexcitation syndrome was orthodromic atrioventricular reentrant tachycardia. For the majority of older children ablation of the accessory pathway was a recommended form of treatment. In younger children the standard preventive pharmacological treatment was applied for 6 to 12 months. Charakterystyczną cechą zespołów preekscytacji jest obecność dodatkowej, nieprawidłowej drogi przewodzenia w sercu. Najczęstszym typem zespołu preekscytacji jest zespół Wolffa-Parkinsona-White’a. Sciendo 2018-06-30 /pmc/articles/PMC8522904/ /pubmed/30056397 http://dx.doi.org/10.34763/devperiodmed.20182202.113122 Text en © 2018 Aleksandra Stasiak, Katarzyna Niewiadomska-Jarosik, Piotr Kędziora, published by Sciendo https://creativecommons.org/licenses/by/4.0/This work is licensed under the Creative Commons Attribution 4.0 International License.
spellingShingle Original Articles/Prace Oryginalne
Stasiak, Aleksandra
Niewiadomska-Jarosik, Katarzyna
Kędziora, Piotr
Clinical Course and Treatment of Children and Adolescents with The Preexcitation Syndrome − Own Studies
title Clinical Course and Treatment of Children and Adolescents with The Preexcitation Syndrome − Own Studies
title_full Clinical Course and Treatment of Children and Adolescents with The Preexcitation Syndrome − Own Studies
title_fullStr Clinical Course and Treatment of Children and Adolescents with The Preexcitation Syndrome − Own Studies
title_full_unstemmed Clinical Course and Treatment of Children and Adolescents with The Preexcitation Syndrome − Own Studies
title_short Clinical Course and Treatment of Children and Adolescents with The Preexcitation Syndrome − Own Studies
title_sort clinical course and treatment of children and adolescents with the preexcitation syndrome − own studies
topic Original Articles/Prace Oryginalne
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8522904/
https://www.ncbi.nlm.nih.gov/pubmed/30056397
http://dx.doi.org/10.34763/devperiodmed.20182202.113122
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