Diagnosis and treatment of fetal and pediatric age patients (0–12 years) with Wolff–Parkinson–White syndrome and atrioventricular accessory pathways Article Swipe

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Medicine Paroxysmal supraventricular tachycardia Accessory pathway Supraventricular tachycardia Cardiology Internal medicine Tachycardia Risk stratification Long QT syndrome Paroxysmal tachycardia Ablation Catheter ablation Pediatrics QT interval

Loira Leoni , Gabriele Bronzetti , Diego Colonna , Giulio Porcedda , Alessandro Rimini , Massimo Stefano Silvetti ·

YOU? · · 2023 · Open Access · · DOI: https://doi.org/10.2459/jcm.0000000000001484 · OA: W4383302046

Overt or concealed accessory pathways are the anatomic substrates of ventricular preexcitation (VP), Wolff–Parkinson–White syndrome (WPW) and paroxysmal supraventricular tachycardia (PSVT). These arrhythmias are commonly observed in pediatric age. PSVT may occur at any age, from fetus to adulthood, and its symptoms range from none to syncope or heart failure. VP too can range from no symptoms to sudden cardiac death. Therefore, these arrhythmias frequently need risk stratification, electrophysiologic study, drug or ablation treatment. In this review of the literature, recommendations are given for diagnosis and treatment of fetal and pediatric age (≤12 years) WPW, VP, PSVT, and criteria for sport participation.