B-ab20-04 prospective assessment of children with wolff-parkinson-white syndrome: how rare are events, really?
Wolff-Parkinson-White Syndrome (WPW) is associated with sudden death. Previous retrospective studies have challenged dogma that risk stratification strategies predict risk. There have been calls for validation with multicenter prospective data that we provide here. (Source: Heart Rhythm)
Source: Heart Rhythm - July 28, 2021 Category: Cardiology Authors: Susan P. Etheridge, Brynn E. Dechert-Crooks, John Papagiannis, Lindsey Malloy Walton, Svjetlana Tisma-Dupanovic, Anna N. Kamp, Naomi J. Kertesz, Ian H. Law, Jennifer Maldonado, Christopher M. Janson, Andrew E. Radbill, Prince J. Kannankeril, David Gamboa, Source Type: research

B-po05-195 post-excitation: early repolarization in wolf-parkinson-white syndrome
Life-threatening events (LTE) in Wolff-Parkinson White Syndrome (WPW) can occur pediatrics patients (pts) without high-risk accessory pathways (AP). Adults with WPW may have VF without atrial fibrillation. Early repolarization (ER) with specific patterns has been reported in adults with WPW, and has been associated with VF, but this has not been studied in children. (Source: Heart Rhythm)
Source: Heart Rhythm - July 28, 2021 Category: Cardiology Authors: Tracy Marrs Conner, Ronn E. Tanel, Kishor Avasarala, Akash R. Patel Source Type: research

B-po04-194 pediatric t-wave memory after accessory pathway ablation in wolff-parkinson-white syndrome
Wolff-Parkinson-White (WPW) syndrome leads to altered ventricular depolarization, secondary to ventricular preexcitation, which in turn leads to repolarization abnormalities that can persist after pathway ablation. The term T-wave memory has been applied to these changes, as the post-ablation T-wave vector “remembers”, and often mirrors, the preexcited QRS vector. In adults, these T-wave abnormalities can be misinterpreted as ischemia, leading to unnecessary evaluation and intervention. The role of T-wave memory in children remains unknown. (Source: Heart Rhythm)
Source: Heart Rhythm - July 28, 2021 Category: Cardiology Authors: Karyn Austin, Mark E. Alexander, John K. Triedman Source Type: research

B-po03-213 use of m mode to demonstrate abnormal ventricular contraction in wolff-parkinson white syndrome
Localization of the accessory pathway in Wolff-Parkinson White (WPW) syndrome is primarily done using a 12 lead electrocardiogram (ECG). Contemporary data are lacking on the use of 2D transthoracic echocardiography (TTE) for visualization of the abnormal contraction associated with WPW. (Source: Heart Rhythm)
Source: Heart Rhythm - July 28, 2021 Category: Cardiology Authors: Divyanshu Mohananey, Janaki Rami Reddy Manne, David Lewandowski, Jalaj Garg Source Type: research

B-po03-197 atrial fibrillation in wolff-parkinson-white syndrome during electrophysiology study in children: revisiting risk stratification
Wolff-Parkinson-White syndrome (WPW) has been associated with sudden cardiac death (SCD) due to rapid conduction through the accessory pathway (AP) in atrial fibrillation (AF). Adult patients (pts) are considered higher risk for SCD if the shortest preexcited RR interval (SPERRI) in AF is ≤250 milliseconds (ms) during electrophysiologic study (EPS). Patients with exclusive conduction through the atrioventricular node (AVN) in AF are presumed to have a lower risk of SCD. Additionally, the shortest preexcited paced cycle length with atrial pacing (SPPCL) has also served as a marker f or risk stratification. (Source: Heart Rhythm)
Source: Heart Rhythm - July 28, 2021 Category: Cardiology Authors: Nak Hyun Choi, Gabriel Apfel, Eric S. Silver, Leonardo Liberman Source Type: research

Assessment of P- to delta-wave interval and its relationship with accessory pathway properties in patients with pre-excitation
CONCLUSIONS: Our results demonstrate that there was a strong correlation between the P- to delta-wave interval and universally accepted risk factors, such as low age, low APERP and atrial fibrillation inducibility. Further studies with larger patient groups and follow-up data are needed to appraise its predictive value.PMID:34128947 | DOI:10.5830/CVJA-2020-057 (Source: Cardiovascular Journal of Africa)
Source: Cardiovascular Journal of Africa - June 15, 2021 Category: Cardiology Authors: Osman Can Yontar Ahmet Yanik Gokhan Aksan Source Type: research

Assessment of P- to delta-wave interval and its relationship with accessory pathway properties in patients with pre-excitation
CONCLUSIONS: Our results demonstrate that there was a strong correlation between the P- to delta-wave interval and universally accepted risk factors, such as low age, low APERP and atrial fibrillation inducibility. Further studies with larger patient groups and follow-up data are needed to appraise its predictive value.PMID:34128947 | DOI:10.5830/CVJA-2020-057 (Source: Cardiovascular Journal of Africa)
Source: Cardiovascular Journal of Africa - June 15, 2021 Category: Cardiology Authors: Osman Can Yontar Ahmet Yanik Gokhan Aksan Source Type: research

Assessment of P- to delta-wave interval and its relationship with accessory pathway properties in patients with pre-excitation
CONCLUSIONS: Our results demonstrate that there was a strong correlation between the P- to delta-wave interval and universally accepted risk factors, such as low age, low APERP and atrial fibrillation inducibility. Further studies with larger patient groups and follow-up data are needed to appraise its predictive value.PMID:34128947 | DOI:10.5830/CVJA-2020-057 (Source: Cardiovascular Journal of Africa)
Source: Cardiovascular Journal of Africa - June 15, 2021 Category: Cardiology Authors: Osman Can Yontar Ahmet Yanik Gokhan Aksan Source Type: research

Reversal of systolic dysfunction in noncompaction and Wolff-Parkinson-White syndrome after accessory pathway ablation
Publication date: Available online 13 June 2021Source: Journal of Cardiology CasesAuthor(s): Katrin Rezkalla, Edmund Gatterer, Matthias Hasun, Johannes Huber, Claudia Stöllberger, Franz Weidinger (Source: Journal of Cardiology Cases)
Source: Journal of Cardiology Cases - June 14, 2021 Category: Cardiology Source Type: research

Essentials of Paroxysmal Supraventricular Tachycardia for the Pediatrician
Pediatr Ann. 2021 Mar;50(3):e113-e120. doi: 10.3928/19382359-20210217-01. Epub 2021 Mar 1.ABSTRACTParoxysmal supraventricular tachycardia (SVT) is the most common clinical arrhythmia in young patients. With an estimated prevalence of roughly 1 in 500 children, a pediatrician may knowingly or unknowingly see several patients who are affected each year. SVT symptoms can sometimes be vague or conflated with common pediatric complaints. Different forms of SVT are predominant at different ages, sometimes complicating timely recognition and referral. Differing pathophysiology and age distribution impact risk of complications suc...
Source: Pediatric Annals - May 26, 2021 Category: Pediatrics Authors: Alejandro A Borquez Matthew R Williams Source Type: research

Ablation in patients with Ebstein Anomaly and Wolff Parkinson White Syndrome
ConclusionsThe ablation in patients with EA and WPW syndrome constitutes a challenge, we found that the use of electroanatomical mapping and the use of ICE could improve the acute success rate. New studies are needed to demonstrate the usefulness of these techniques to improve the acute success rate and to reduce the recurrence rate. ProceduresProcedures (N  = 30)N%Conventional procedures1550.0Electroanatomical mapping1550.0Intracardiac echocardiogram1033.3Acute success2485.7Recurrence310.0Major complication13.3Descriptive table of our experience in ablation of patients with ED and WPW syndrome.Abstract Figure. Locatio...
Source: Europace - May 24, 2021 Category: Cardiology Source Type: research

Antipsychotics in Wolff-Parkinson-White Syndrome
Wolff-Parkinson-White Syndrome (WPW) is a rare ventricular pre-excitation syndrome due to the presence of an atrioventricular accessory pathway. WPW patients are prone to fatal arrhythmias. Antipsychotics are FDA-approved for various psychiatric illnesses which increases the possibility of patients with WPW receiving such medications. Currently, there is scarce evidence on the safety of antipsychotics in WPW patients. (Source: Biological Psychiatry)
Source: Biological Psychiatry - April 27, 2021 Category: Psychiatry Authors: Hassaan Gomaa, Sean Nutting, Andrew Francis, Charles Mormando, Alfredo Bellon Tags: Research Method: Pharmacology Source Type: research

Orthoptic assessment of vision in patients with complex disability: the importance of understanding the patient's communication methods
We report on one case which led to a reevaluation of our current assessment methods, clinical care pathways and the contents of clinic correspondence. We present a case report of a 14-year-old girl who suffered a cardiac arrest due to underlying Wolff-Parkinson-White syndrome; MRI revealed hypoxic brain injury with extensive white matter and basal ganglia volume loss. On presentation, it was evident there was a significant impact on visual function. Conventional optotype acuity testing was not possible. Her inability to maintain fixation made observational responses unreliable. Observations revealed no steady fixation, exo...
Source: Strabismus - April 15, 2021 Category: Research Authors: Caroline Fanning Anna O'Connor Source Type: research