Bundle-branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia

Wolff, Louis; Parkinson, John; White, Paul D.

doi:10.1016/s0002-8703(30)90086-5

Cited by 802 publications

(67 citation statements)

References 3 publications

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“…It is now over 80 years since the classic description of ventricular pre-excitation by Wolff et al 1 and almost 70 years since the presence of an underlying muscular accessory connection was proven histologically 2. Ventricular pre-excitation can be produced by an accessory pathway in any position around the tricuspid valve, around most of the circumference of the mitral valve and occasionally in positions remote from the atrioventricular (AV) valves related to the coronary sinus or atrial appendages.…”

Section: Introductionmentioning

confidence: 99%

Accuracy of algorithms to predict accessory pathway location in children with Wolff–Parkinson–White syndrome

Wren

Vogel

Lord

et al. 2011

Heart

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Section: Introductionmentioning

confidence: 99%

Accuracy of algorithms to predict accessory pathway location in children with Wolff–Parkinson–White syndrome

Wren

Vogel

Lord

et al. 2011

Heart

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“…The post-cardioversion 12-lead ECG demonstrated the classical features of WPW syndrome with a short PR interval and a delta wave (fig 3). 2 The patient was referred for electrophysiological studies with a view to radiofrequency ablation.…”

Section: Case Reportmentioning

confidence: 99%

Pre-excited atrial fibrillation triggered by intravenous adenosine: a commonly used drug with potentially life-threatening adverse effects

Turley

Murray

Thambyrajah

2008

Emergency Medicine Journal

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Although serious adverse events following adenosine administration are rare, it should only be administered in an environment where continuous ECG monitoring and emergency resuscitation equipment are available. The case report describes the development of pre-excited atrial fibrillation in a 31-year-old woman with Wolff-Parkinson-White syndrome following the administration of adenosine. She had previously been fit and well and was admitted to the coronary care unit with a 2 h history of regular palpitations. A 12-lead ECG showed a narrow QRS complex tachycardia. Carotid sinus massage was unsuccessful in terminating the tachycardia and the patient subsequently received rapid boluses of intravenous adenosine. The cardiac rhythm degenerated into atrial fibrillation with ventricular pre-excitation following 12 mg adenosine.

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“…Wolff-Parkinson-White syndrome (WPW) is an electrocardiographic abnormality that manifests on the electrocardiogram with a short PR interval, presence of a delta wave, and episodes of supraventricular tachycardia [1]. These findings are due to the presence of an accessory pathway (AP) that bridges the electrical activity of the atrium to the ventricles and bypassing the normal conduction delay of the atrio-ventricular node.…”

Section: Introductionmentioning

confidence: 99%

Anesthetic Technique for Transesophageal Electrophysiology Studies in Pediatric Patients with Wolff-Parkinson-White Syndrome

Gilly¹,

Hoyt²,

Harmon³

et al. 2015

OJPed

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Objective: Patients with Wolff-Parkinson-White (WPW) Syndrome require risk assessment to determine their potential for sudden cardiac death. Transesophageal electrophysiology studies (TEEPS) are an effective risk stratification tool. The purpose of this study is to describe a minimially invasive, effective anesthetic technique to employ during transesophageal electrophysiology studies. Methods: A retrospective review of anesthetic technique utilized during TEEPS. Inclusion criteria; WPW on ECG; age <18 years; and no history of tachycardia, palpitations, or syncope and patient had TEEPS under monitored anesthesia care (MAC). Midazolam, Fentanyl, and Propofol were used in various combinations. Sevoflurane was used during induction period in all GA cases and discontinued 10 minutes prior to initiation of TEEPS. Results: Inclusion criteria were met by 20 patients with an average age of 11.9 years, average weight of 48.9 kg and average height of 149.2 cm. IV sedation was performed on 15%, MAC on 10% and GA in remainder. Airway management techniques included 13.3% LMA, 20% endotrachael tube (ETT) and 66% mask. IV sedation, the initial anesthetic, was found to be cumbersome and uncomfortable. Next was ETT and LMA but trouble pacing was encountered due to positional change of the esophagus relative to the left atrium during ventilation. Mask induction was then performed in remaining 10 patients with TEEPS probe inserted through a nare while anesthesiologist continued mask ventilation. All mask * Corresponding author. G. M. Gilly et al.18 procedures were successful without complications. Conclusions: Induction of anesthesia to perform TEEPS procedures on pediatric patients with Wolff-Parkinson-White syndrome underwent numerous attempts to make the procedure easy, reliable and reproducible for anesthesia and electrophysiologist. The eventual technique that proved to meet these criteria during a transesopheagel electrophysiology procedure was utilization of mask induction with continuous IV sedation.

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Bundle-branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia

Cited by 802 publications

References 3 publications

Accuracy of algorithms to predict accessory pathway location in children with Wolff–Parkinson–White syndrome

Accuracy of algorithms to predict accessory pathway location in children with Wolff–Parkinson–White syndrome

Pre-excited atrial fibrillation triggered by intravenous adenosine: a commonly used drug with potentially life-threatening adverse effects

Anesthetic Technique for Transesophageal Electrophysiology Studies in Pediatric Patients with Wolff-Parkinson-White Syndrome

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