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Keywords ("ECG" OR " EKG") AND ("Wolff-...

("ECG" OR " EKG") AND ("Wolff-Parkinson-White" OR "WPW")

https://read.qxmd.com/read/37394208/some-topical-aspects-of-the-sports-heart-problem-literature-review-part-2
#21
REVIEW
A Korotkikh, Yu Vakhnenko, M Kashtanov
Electrocardiography occupies a special place among a significant list of other methods for diagnosing the pathology of the cardiovascular system of athletes. Often its results differ significantly from those in the general population, being a consequence of the adaptation of the heart to economical functioning at rest and super-intensive work in training and competitions. This review focuses on the features of the "athlete's electrocardiogram (ECG)". In particular, those changes that are not a reason for removing athletes from physical activity, but in combination with known factors can lead to more serious changes up to sudden cardiac death...
June 30, 2023: Current Problems in Cardiology
https://read.qxmd.com/read/37170212/pre-excited-atrial-fibrillation-revealed-at-a-very-delayed-age-case-report
#22
JOURNAL ARTICLE
Thierno Hamidou Diallo, Raid Faraj, Safae Hilal, Myriam Lahraoui, Oualid Kisra, Fatima-Azzahra Benmessaoud, Nawal Doghmi, Ibtissam Fellat, Mohamed Cherti
BACKGROUND: Wolff-Parkinson-White (WPW) syndrome is a condition characterized by the persistence of an accessory pathway responsible for ventricular pre-excitation that can lead to symptomatic and potentially severe arrhythmias. Coexistence with atrial fibrillation is well known and not uncommon, exposing to potential degenerescence into ventricular fibrillation when atrial impulses are transmitted along the accessory pathway. WPW syndrome is most prevalent in younger patients and cases revealed after an advanced age have rarely been described in the literature...
May 11, 2023: International Journal of Emergency Medicine
https://read.qxmd.com/read/37126108/would-a-complete-electrophysiological-study-allow-us-to-make-a-correct-diagnosis-case-report
#23
JOURNAL ARTICLE
Elibet Chávez-González, Raimundo Carmona-Puerta, Fernando Rodríguez-González, Juan Miguel Cruz-Elizundia, Cynthia Torres-Acosta
BACKGROUND: Oblique course of some left accessory pathways is rare An incomplete electrophysiological study may confuse us between an oblique accessory pathway or the presence of two accessory pathways. The proximity of all atrial and ventricular electrograms, at each pole of the catheter, within the coronary sinus may be a novel finding. CASE PRESENTATION: A 68-year-old woman patient presented arrhythmias with hypotension requiring electrical cardioversion. Her electrocardiogram (ECG) was interpreted as atrial fibrillation by accessory pathway...
May 1, 2023: Egyptian Heart Journal: EHJ
https://read.qxmd.com/read/37115433/asymptomatic-wolff-parkinson-white-syndrome-an-ounce-of-prevention-is-worth-the-risk-of-cure
#24
REVIEW
Susan P Etheridge, Lindsey Gakenheimer-Smith, S Yukiko Asaki, Mary Niu
PURPOSE OF REVIEW: With increased electrocardiogram screening, asymptomatic preexcitation has become more prevalent. Historically, the asymptomatic-symptomatic dichotomy has directed management. This approach warrants scrutiny, as asymptomatic Wolff-Parkinson-White (WPW) syndrome is not without risk. Children may be unreliable symptom reporters, have atypical arrhythmia symptoms, yet have years to become symptomatic. RECENT FINDINGS: In a large WPW study, symptomatic patients were more likely to undergo ablation than asymptomatic patients, yet, except for symptoms, there were no differences in clinical or electrophysiology study (EPS) characteristics...
June 2023: Current Cardiology Reports
https://read.qxmd.com/read/37114581/-not-available
#25
JOURNAL ARTICLE
Louise Egedahl Lind, Andi Eie Albertsen
A 63-year-old mand with permanent atrial fibrillation through five years presents to the emergency room with dyspnea and an ECG showing pre-excited afib. The ECG was initially perceived as afib with bundle branch block and treated with digoxin. After that, treatment with amiodaron was given; also without success. After DC-conversion, multiple times and relapse, the patient was transferred to a highly specialised hospital, and an accessory pathway was performed ablated. This is a case report of a patient who had permanent atrial fibrillation and whose initial presentation of Wolff-Parkinson White syndrome was pre-excited atrial fibrillation...
April 24, 2023: Ugeskrift for Laeger
https://read.qxmd.com/read/37054739/validation-of-qrs-polarity-algorithm-with-special-emphasis-in-parahisian-pathways
#26
JOURNAL ARTICLE
Jorge Gómez-Flores, Ángel Cueva-Parra, Antonio Gallegos-Cortéz, Santiago Nava, Manlio F Márquez, Pedro Iturralde-Torres
BACKGROUND: In 1996 Iturralde et al. published an algorithm based on the QRS polarity to determine the location of the accessory pathways (AP), this algorithm was developed before the massive practice of invasive electrophysiology. PURPOSE: To validate the QRS-Polarity algorithm in a modern cohort of subjects submitted to radiofrequency catheter ablation (RFCA). Our objective was to determinate its global accuracy and its accuracy for parahisian AP. METHODS: We conducted a retrospective analysis of patients with Wolff-Parkinson-White (WPW) syndrome who underwent an electrophysiological study (EPS) and RFCA...
2023: Archivos de Cardiología de México
https://read.qxmd.com/read/36945291/neurological-extracardiac-and-cardiac-manifestations-of-ebstein-s-anomaly-along-with-its-genetics-diagnostic-techniques-treatment-updates-and-the-future-ahead
#27
REVIEW
Muhammad Farhan, Priyadarshi Prajjwal, Valleru P Sai, Obed Aubourg, Tappa Ushasree, Herson S Flores Sanga, Arzita Diandra D Fadhilla, Mohammed Dheyaa M Marsool, Nazmun Nahar, Sayantika Ghosh
Ebstein's anomaly is a congenital heart defect characterized by the displacement of the tricuspid valve, and its leaflets to be malformed. Due to the defect involving the tricuspid valve, there is a reverse flow of blood into the right-sided atrium, which may lead to cardiac hypertrophy and edema of the lower extremities. There is a decreased flow of blood out of the right heart due to reduced right ventricular contractility and tricuspid regurgitation. Children afflicted with this anomaly usually suffer from atrial septal defect and this is usually diagnosed before birth on a routine ultrasound scan...
February 2023: Curēus
https://read.qxmd.com/read/36939928/-asymptomatic-wpw-is-treatment-necessary
#28
REVIEW
Gabriele Hessling, Marta Telishevska, Sarah Lengauer, Isabel Deisenhofer
The term "asymptomatic WPW" (Wolff-Parkinson-White) is often used as a synonym for ventricular pre-excitation of the WPW type due to an accessory pathway characterized by a short PR interval and a delta wave on the electrocardiogram (ECG) without the clinical occurrence of paroxysmal tachycardia. Asymptomatic WPW is often diagnosed in young and otherwise healthy people. There is a small associated risk of sudden cardiac death due to rapid antegrade conduction over the accessory pathway during atrial fibrillation...
June 2023: Herzschrittmachertherapie & Elektrophysiologie
https://read.qxmd.com/read/36909275/a-sensible-decision-evidence-should-guide-management-decisions-for-asymptomatic-wpw-pattern-in-any-patient
#29
EDITORIAL
George J Klein, Lorne J Gula
No abstract text is available yet for this article.
March 1, 2023: JACC. Case reports
https://read.qxmd.com/read/36909272/wolff-parkinson-white-in-a-college%C3%A2-athlete-why-didn-t-we-pursue-an-ep-study
#30
Thomas J Sawyer, Melinda Cianci
We report the case of a collegiate volleyball player incidentally discovered to have Wolff-Parkinson-White pattern on preparticipation electrocardiogram screening. Noninvasive testing identified a low-risk pathway. By using a shared decision-making process with the athlete, she was ultimately able to successfully complete her senior season without further workup or adverse events. ( Level of Difficulty: Intermediate. ).
March 1, 2023: JACC. Case reports
https://read.qxmd.com/read/36892318/-not-available
#31
JOURNAL ARTICLE
Sanam Safi, Hussam Mahmoud Sheta, Peter Karl Jacobsen, Lars Idorn
In this case report, a previously asymptomatic 11-year-old boy presented with sudden palpitations and syncope. He eventually went into cardiac arrest and was successfully resuscitated. The ECG showed pre-excited atrial fibrillation degenerating into pulseless ventricular tachycardia. The patient was found to have Wolff-Parkinson-White syndrome (WPW) with an accessory pathway between right atrium and ventricle which was successfully ablated. Sudden cardiac death (SCD) is rare in WPW, however, early diagnosis is essential for eliminating the risk of SCD...
February 20, 2023: Ugeskrift for Laeger
https://read.qxmd.com/read/36660903/a-challenging-catheter-ablation-of-anteroseptal-manifest-accessory-pathway-from-non-coronary-aortic-cusp-in-a-paediatric-patient
#32
JOURNAL ARTICLE
Merve Maze Aydemir, Hasan Candas Kafali, Yakup Ergul
Twelve-lead ECG of a child with Wolff-Parkinson-White syndrome and systolic dysfunction was consistent with the anteroseptal accessory pathway. The earliest atrial activation during electrophysiological study was found between the right anteroseptal region near the HIS. Multiple femoral tract right-sided cryotest lesions followed by radiofrequency catheter irrigated through the jugular vein route were unsuccessful. Then, non-coronary aortic cusp mapping and cryoablation were successfully performed with a retroartic approach...
January 20, 2023: Cardiology in the Young
https://read.qxmd.com/read/36640425/a-single-lead-ecg-algorithm-to-differentiate-right-from-left-manifest-accessory-pathways-a-reappraisal-of-the-p-delta-interval
#33
JOURNAL ARTICLE
Hussam Ali, Carmine De Lucia, Ernesto Cristiano, Pierpaolo Lupo, Sara Foresti, Guido De Ambroggi, Dario Turturiello, Edoardo Maria Paganini, Riccardo Bessi, Ahmad Abdelrady Abdelsalam Farghaly, Pietro Francia, Riccardo Cappato
INTRODUCTION: Despite numerous ECG algorithms being developed to localize the site of manifest accessory pathways (AP), they often require stepwise multiple-lead analysis with variable accuracy, limitations, and reproducibility. The study aimed to develop a single-lead ECG algorithm incorporating the P-Delta interval (PDI) as an adjunct criterion to discriminate between right and left manifest AP. METHODS: Consecutive WPW patients undergoing electrophysiological study (EPS) were retrospectively recruited and split into a derivation and validation group (1:1 ratio)...
March 2023: Journal of Cardiovascular Electrophysiology
https://read.qxmd.com/read/36573711/broad-electrocardiogram-syndromes-spectrum-from-common-emergencies-to-particular-electrical-heart-disorders
#34
REVIEW
Anastasia Balta, Alexandr Ceasovschih, Victorița Șorodoc, Kyriakos Dimitriadis, Sara Güzel, Cătălina Lionte, Cristian Stătescu, Radu Andy Sascău, Emmanouil Mantzouranis, Athanasios Sakalidis, Panayotis K Vlachakis, Panagiotis Tsioufis, Athanasios Kordalis, Eleftherios Tsiamis, Konstantinos Tsioufis, Laurențiu Șorodoc
Electrocardiogram (ECG) still remains a very useful diagnostic method in modern cardiology. Its broad availability, noninvasiveness and good sensitivity explain why it plays a capital role in the very beginning of the process of diagnosis for every patient, with or without cardiac-related complaints. For the practitioner, good training in ECG interpretation is mandatory. Sometimes, the ECG trace reveals particular aspects that may cause confusion and complicate decision-making. In this article, we present several less common situations underlying the general context and ECG features...
October 22, 2022: Journal of Personalized Medicine
https://read.qxmd.com/read/36553406/accuracy-of-algorithms-predicting-accessory-pathway-localization-in-pediatric-patients-with-wolff-parkinson-white-syndrome
#35
JOURNAL ARTICLE
Stefan Kurath-Koller, Martin Manninger, Nathalie Öffl, Martin Köstenberger, Hannes Sallmon, Joachim Will, Daniel Scherr
We aimed to assess the accuracy of determining accessory pathway (AP) localization from 12 lead ECG tracings by applying 12 different algorithms in pediatric patients diagnosed with Wolff-Parkinson-White syndrome. We compared algorithm accuracy in electrophysiologic study ECG tracings with full preexcitation and resting ECG tracings. The assessing pediatric cardiologists were blinded regarding EP study results on AP localization. For exact AP location, the algorithms published by D'Avila et al. and Boersma et al...
December 14, 2022: Children
https://read.qxmd.com/read/36504238/easy-wpw-a-novel-ecg-algorithm-for-easy-and-reliable-localization-of-manifest-accessory-pathways-in-children-and-adults
#36
MULTICENTER STUDY
Mustapha El Hamriti, Martin Braun, Stephan Molatta, Guram Imnadze, Moneeb Khalaph, Philipp Lucas, Julia Kathinka Nolting, Khuraman Isgandarova, Vanessa Sciacca, Thomas Fink, Leonard Bergau, Christian Sohns, Kunihiko Kiuchi, Makoto Nishimori, Christian-Hendrik Heeger, Martin Borlich, Dong-In Shin, Sonia Busch, Denise Guckel, Philipp Sommer
AIMS: Accessory pathway (AP) ablation is a standard procedure for the treatment of Wolff-Parkinson-White syndrome (WPW). Twelve-lead electrocardiogram (ECG)-based delta wave analysis is essential for predicting ablation sites. Previous algorithms have shown to be complex, time-consuming, and unprecise. We aimed to retrospectively develop and prospectively validate a new, simple ECG-based algorithm considering the patients' heart axis allowing for exact localization of APs in patients undergoing ablation for WPW...
February 16, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://read.qxmd.com/read/36426223/case-report-genomic-screening-for-inherited-cardiac-conditions-in-ecuadorian-mestizo-relatives-improving-familial-diagnose
#37
Santiago Cadena-Ullauri, Patricia Guevara-Ramirez, Viviana Ruiz-Pozo, Rafael Tamayo-Trujillo, Elius Paz-Cruz, Tatiana Sánchez Insuasty, Nieves Doménech, Adriana Alexandra Ibarra-Rodríguez, Ana Karina Zambrano
INTRODUCTION: Genomic screening is an informative and helpful tool for the clinical management of inherited conditions such as cardiac diseases. Cardiac-inherited diseases are a group of disorders affecting the heart, its system, function, and vasculature. Among the cardiac inherited abnormalities, one of the most common is Wolff-Parkinson-White syndrome. Similarly, hypertrophic cardiomyopathy is another common autosomal dominant inherited cardiac disease. Hypertrophic cardiomyopathy is associated with an increased incidence of Wolff-Parkinson-White syndrome; reports have suggested that it could be caused by a mutation in the protein-coding gene PRKAG2, which encodes a subunit of the AMP-activated protein kinase...
2022: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/36417617/wolff-parkinson-white-presenting-as-qrs-alternans-and-other-differential-diagnoses-in-a-large-pre-participation-ecg-screening-cohort
#38
JOURNAL ARTICLE
Daniel Y Z Lim, Wilbert H H Ho, Luokai Wang, Wee Kiat Ang, Nishanth Thiagarajan, Gerald Gr Sng, Hankun Wang, Wesley Tw Loo, Lim Huai Yang, Weien Chow, Terrance J Chua, Tee Joo Yeo, Paul Lim, Thuan Tee Daniel Chong
BACKGROUND: Wolff-Parkinson-White (WPW) syndrome is a proarrhythmic condition that may require restriction from strenuous activities and is characterized by ECG signs, including delta waves. We observed cases of intermittent WPW patterns presenting as QRS alternans ('WPW alternans') in a large pre-participation ECG screening cohort of young men reporting for military conscription. OBJECTIVES: We aimed to determine the WPW alternans pattern, case characteristics, and the prevalence of other relevant differential diagnoses presenting as QRS alternans in a pre-participation setting...
December 2022: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/36376797/kennedy-s-disease-presented-with-mastication-fatigue-combined-with-positive-titin-antibody-a-case-report
#39
JOURNAL ARTICLE
Guang Ji, Rui Huang, Xiaomeng Zhou, Cuifang Cao, Qiong Wu, Zhenfei Li, Hui Dong, Xueqin Song, Yaling Liu
BACKGROUND: Spinal and bulbar muscular atrophy (SBMA) is an X-linked recessive hereditary neuromuscular disorder caused by the expanded trinucleotide repeat in the androgen receptors gene. The major clinical manifestations of SBMA consist of weakness in the bulbar and limb muscles, fasciculations, tremors, cramps, sensory impairment, and gynecomastia. However, atypical SBMA cases may lead to misdiagnosis. Muscular fatigue and decremental responses to repetitive nerve stimulation (RNS), despite being observed in some SBMA patients, are usually occurred in MG patients, and patient with the symptom of mastication fatigue was rarely reported...
November 14, 2022: BMC Neurology
https://read.qxmd.com/read/36352843/successful-radiofrequency-catheter-ablation-of-wolff-parkinson-white-syndrome-in-a-patient-with-dextrocardia-a-case-report
#40
Lei Zhao, Ruibin Li, Long Bai, Dong Wang, Jidong Zhang, Xiaohong Yang
BACKGROUND: Dextrocardia is a congenital heart malformation with a low incidence that occurs in only 1 in 10,000-12,000 people. Wolff-Parkinson-White (WPW) syndrome is a congenital condition with additional accessory pathways between the atria and the ventricle, which affects up to three in 1,000 people worldwide. Experience of radiofrequency catheter ablation in patients with WPW syndrome and dextrocardia is scarce due to its rare incidence. CASE PRESENTATION: A 39-year-old female was hospitalized due to two episodes of palpitations in the latest 2 months...
2022: Frontiers in Cardiovascular Medicine
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