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[Various problems of examining and treating children with ventricular pre-excitation syndrome]
Insights
This study evaluated pre-excitation syndrome in 33 children, identifying accessory pathway characteristics to guide treatment. Surgical interruption was performed in 22 children, with 9 requiring it due to dangerous arrhythmias.
Area of Science:
- Pediatric Cardiology
- Electrophysiology
- Cardiac Arrhythmias
Background:
- Pre-excitation syndrome in children can lead to serious arrhythmias.
- Understanding accessory pathway function is crucial for effective management.
- A significant subset of pediatric patients may require intervention.
Abstract:
Thirty-three children, aged 6 months to 14 years, with the pre-excitation syndrome were examined. Esophageal electrophysiological heart studies were conducted in all cases, and intracardiac electrophysiological studies, in 11 of those. Functional characteristics of the accessory pathways were established, and the most efficient treatment chosen. Nine children were in need of surgical treatment because of the short effective refractory period of the accessory pathways and life-threatening arrhythmias. Radical operations (surgical interruption of the accessory pathways) were performed in 22 children.