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Asymptomatic ventricular pre-excitation in children

Giovanni Fazio1, Claudia Mossuto, Ivana Basile

  • 1Department of Cardiology, University of Palermo, Palermo, Italy. Giovanni.fazio-aaaa@poste.it

Journal of Cardiovascular Medicine (Hagerstown, Md.)
|August 27, 2009
PubMed

Insights

Asymptomatic Wolff-Parkinson-White syndrome in children generally shows a good outcome. Electrophysiological evaluation

Area of Science:

  • Pediatric Cardiology
  • Electrophysiology
  • Cardiac Electrophysiology

Background:

  • Ventricular pre-excitation, characterized by an atrioventricular pathway, affects pediatric patients.
  • Asymptomatic presentation necessitates risk assessment for potential cardiac events.

Purpose of the Study:

  • To assess the long-term risk and outcomes of asymptomatic ventricular pre-excitation in children.
  • To evaluate the utility of diagnostic tools in managing these patients.

Main Methods:

  • Retrospective analysis of 124 pediatric patients (mean age 7 years) with ventricular pre-excitation from 1985-2007.
  • Annual Holter monitoring, ergometric testing in 76 patients, and transesophageal electrophysiological studies in 14 patients.
  • A mean follow-up of 4.2 years was conducted, with 4 patients lost to follow-up.

Main Results:

  • 15% of patients had an intermittent pathway; 3.4% experienced supraventricular tachycardia despite being asymptomatic.
  • 21% of patients undergoing ergometric testing showed complete delta wave disappearance.
  • All patients remained in good health during the follow-up period.

Conclusions:

  • Asymptomatic Wolff-Parkinson-White syndrome in children demonstrates a favorable short-term prognosis.
  • The predictive value of electrophysiological evaluation in this population remains uncertain.
Abstract

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