Abstract

Aim:
Wolff-Parkinson-White patern is the most common form of ventricular
preexcitation. The aim of this study was to investigate the clinical features
of pediatric patients with Wolff-Parkinson-White patern or syndrome and to
investigate the results of the follow up.

Method: The echocardiography database and Holter archive were sorted and a total of 73 children were found to be diagnosed as having Wolff-Parkinson-White Syndrome between January 2000 and December 2017. The medical recordings of these patients were evaluated retrospectively. The demograghic and clinical features and follow–up results were recorded.

Results:
A total of 73 patients were diagnosed with Wolff-Parkinson White Syndrome in
the determined period. Nine patients were newborns. 15 patients (20%) were
admitted to our clinic at least once before diagnosis of Wolff-Parkinson-White  syndrome but were missed. 17 patients had
conjenital heart disesis,a. 23 patients were completely asymptomatic, 9
patients were diagnosed due to nonspecific symptoms, and the remaining 41
patients were symptomatic patients. 18 of the symptomatic patients referred to
our clinic with the recorded supraventricular tachycardia. In 23 patients,
transesophageal electrophysiological study was performed for risk assessment.
28 patients underwent catheter ablation during the mean follow-up period of
45.1 ± 43 months.










Conclusion:
Although children with Wolff-Parkinson-White Syndrome can be admitted during
supraventricular tachycardia, they are mostly diagnosed in symptomatic patients
and few are caught incidentally in asymptomatic patients transesophageal
electrophysiological study is an effective
method in risk assessment. When needed, ablation provides definitive
treatment.

Keywords: Children, Supraventricular tachycardia, Wolff-Parkinson-White Syndrome

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Copyright and license

Copyright © 2021 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Güler M, Cengiz S, Ceviz N. Clinical Features of Children With Wolff-Parkinson-White Syndrome. Turk J Pediatr Dis [Internet]. 2021 Mar. 30 [cited 2025 Jul. 17];15(2):93-8. Available from: https://turkjpediatrdis.org/article/view/799