Abstract

Aims: To evaluate the children with electrocardiographic pattern of Wolff-Parkinson-White (WPW) and review their demographic features, presenting symptoms, electrocardiographic, echocardiographic findings, and management.

Methods: The study was conducted in a single tertiary research hospital from 2009 to 2011, retrospectively. Twentyone children (1 day to 15 years) with a WPW pattern on surface ECG were included in this study. We classified patients into two groups as “Asymptomatic” and “Symptomatic Group”.

Results: Most children were asymptomatic (13 cases, mean age: 6.0 years) at the diagnosis and during the study period. Symptoms related to dysrhtyhmia were recognized in 8 cases (mean age: 9.1 years) and most common in school age children. There were no gender predominance between two groups. The symptoms were palpitations in 4 cases and syncope in one case. Three cases presented with attack of supraventricular tachycardia (SVT). They also had intermittent nature of WPW and male predominance. Echocardiography revealed mitral valve prolapsus in 7, hypertrophic cardiomyopathy in 3, aortic regurgitation in 1 and Ebstein abnormality in 1 case. SVT were successfully treated with Amiodoron or Adenosine. No patient died suddenly during the study period.

Conclusion: Children with electrocardiographic pattern of WPW should be recognized and managed properly

Keywords: Wolff-Parkinson-White, children, electrocardiography, echocardiography

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How to cite

1.
Ekici F, Çetin İİ, Karadeniz LB. CLINICAL EVALUATION OF CHILDREN WITH ELECTROCARDIOGRAPHIC PATTERN OF WOLFF-PARKINSON-WHITE AND PRESENTING OF SYMPTOMATIC CASES. Turk J Pediatr Dis [Internet]. 2011 Apr. 1 [cited 2025 May 25];5(4):220-3. Available from: https://turkjpediatrdis.org/article/view/160