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L KADȗb3m`L^"ERɹD jEly Dw._L@$#@=G[ endstream endobj startxref 116 %%EOF Seguimiento de 134 pacientes pediátricos con patrón de Wollf Parkinson White: historia natural e intervención médica - Archivo PPCT

Seguimiento de 134 pacientes pediátricos con patrón de Wollf Parkinson White: historia natural e intervención médica;
Follow-up of 134 Pediatric Patients with Wolff-Parkinson-White Pattern:Natural Outcome and Medical Treatment

Creators:Stefani, Amalia; Revista de la Sociedad Argentina de Cardiología, Dal Fabbro, Gabriela, Bosaleh, María, Vásquez, Roberth, Costa, Gustavo, Speranza, Ricardo, Gentile, Jorge, De Zuloaga, Claudio
2013-10-10

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Objetivos:Evaluar la evolución de una población pediátrica con patrón de preexcitaciónventricular, presencia de taquicardia supraventricular, fibrilación auricular,cardiopatías, mortalidad e intervención médica. Material y métodos:Estudio descriptivo observacional. Se registraron pacientes con preexcitaciónventricular en el electrocardiograma, desde 1976 a 2011. Todos teníanecocardiograma, 101 pacientes Holter (75,3%), y 69 (51,5%) ergometría. Pacientesseleccionados fueron ablacionados. Los datos se expresaron como media y desvíoestándar.Resultados:Fueron 134 pacientes, 80 varones (59,7%). Edad al diagnóstico: 2 días a 18años, media 6,5 ± 5 años. Seguimiento clínico: 1 mes a 20 años, media 3,6 ± 3,9años. Consultaron por taquicardia supraventricular 35 pacientes (26,1%), preexcitaciónventricular 16 pacientes (11,9%), otras 83 pacientes (61,9%); 76 pacientes(56,7%) evidenciaron vía izquierda, 3 pacientes doble vía; 16 pacientes (11,9%)presentaron taquicardia supraventricular durante el seguimiento. En total 51pacientes (38%) tuvieron taquicardia ortodrómica, a los 6,3 ± 5,8 años, 10pacientes en período neonatal; 38 pacientes (28,3%) recibieron antiarrítmicos.No se observó fibrilación auricular. Veintiocho pacientes (20,9%) presentaroncardiopatía, 9 con taquicardia supraventricular. No hubo variables vinculadascon taquicardia supraventricular. En 43 pacientes (32,1%) se realizó ablaciónpor radiofrecuencia. Un paciente murió súbitamente. 1P falleció en elpostoperatorio de cardiopatía.Conclusiones: 1-Más del 60% de los pacientes permanecieron asintomáticos. 2- No se registrófibrilación auricular. 3- La tasa de muerte súbita fue 0,75%. 4- Los pacientescon taquicardia supraventricular  noablacionados evolucionaron bien. 5- No se asociaron variables a taquicardiasupraventricular 6- Las vías múltiples siempre tuvieron taquicardiasupraventricular.

ObjectiveThe aim of the study was to evaluate the outcome of a pediatric population withventricular pre-excitation pattern, supraventricular tachycardia, atrial fibrillation,cardiomyopathies, mortality and medical treatment.MethodsFrom 1976 to 2011, a descriptive observational study was conducted on patientswith ventricular pre-excitation in the electrocardiogram. All patients underwent anechocardiogram, 101(75.3%) Holter monitoring, and 69 (51.5%) an ergometric test.Radiofrequency ablation was performed in selected patients. Data were expressed asmean and standard deviation.ResultsThe study population consisted of 134 patients; 80 (59.7%) were male. Age at diagnosisranged from 2 days to 18 years (mean 6.5±5 years). Clinical follow-up lasted1 month to 20 years (mean 3.6±3.9 years). Thirty five patients (26.1%) consultedfor supraventricular tachycardia, 16 (11.9%) for ventricular pre-excitation, and theremaining 83 patients (61.9%) for other abnormalities. Seventy-six patients (56.7%)had left conduction pathway and 3 patients double conduction pathway. Sixteen patients(11.9%) presented supraventricular tachycardia during follow-up. Overall, 51patients (38%) had orthodromic tachycardia at 6.3±5.8 years, 10 patients duringthe neonatal period. Thirty-eight patients (28.3%) received antiarrhythmic drugs.No atrial fibrillation was observed. Twenty-eight patients (20.9%) presented cardiomyopathy,9 with supraventricular tachycardia. No association was found betweensupraventricular tachycardia and another variable. Forty-three patients (32.1%)underwent radiofrequency ablation. A patient suffered sudden death and anotherpatient died during the postoperative period of cardiomyopathy surgery.Conclusions1. More than 60% of patients remained asymptomatic. 2) No atrial fibrillation wasrecorded. 3) Sudden death rate was 0.75%. 4) Patients with supraventricular tachycardianot submitted to ablation had a favorable outcome. 5) Supraventricular tachycardiawas not associated with any variable. 6) Multiple conduction pathways alwaysdeveloped supraventricular tachycardia.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 81, No 5 (2013); 415-421, Argentine Journal of Cardiology; Vol 81, No 5 (2013); 415-421

Citación

Stefani, Amalia; Revista de la Sociedad Argentina de Cardiología et al., “Seguimiento de 134 pacientes pediátricos con patrón de Wollf Parkinson White: historia natural e intervención médica,” Archivo PPCT, consulta 1 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8277.

Dublin Core

Autor

Stefani, Amalia; Revista de la Sociedad Argentina de Cardiología
Dal Fabbro, Gabriela
Bosaleh, María
Vásquez, Roberth
Costa, Gustavo
Speranza, Ricardo
Gentile, Jorge
De Zuloaga, Claudio

Fuente

Revista Argentina de Cardiología; Vol 81, No 5 (2013); 415-421
Argentine Journal of Cardiology; Vol 81, No 5 (2013); 415-421

Editor

Sociedad Argentina de Cardiología

Fecha

2013-10-10

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Idioma

eng
spa

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion