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A Novel Wave-speed Mapping Method for Visualizing Accessory Pathways in Wolff-Parkinson-White Syndrome.
J Cardiovasc Electrophysiol
December 2024
Department of Cardiovascular Medicine, University of Yamanashi, Chuo, Japan.
Introduction: Catheter ablation (CA) is the first-line treatment with a high success rate for patients with symptomatic Wolff-Parkinson-White syndrome, while three-dimensional (3D) mapping systems enable the identification of accessory pathways (APs). We aimed to develop a novel mapping method using wave-speed mapping (WSM) to determine AP locations and CA outcomes.
Methods And Results: This study included 19 patients diagnosed with atrioventricular (AV) reciprocating tachycardia.
Different patterns of pre-excitation in a large Italian cohort of asymptomatic non-competitive athletes evaluated by telecardiology screening: Prevalence and ECG features.
Int J Cardiol Heart Vasc
December 2024
Telemedico Srl-Telecardiology Center, Genova, Italy.
Article Synopsis
- - Telecardiology effectively enables ECG screening for large groups, successfully evaluating non-competitive athletes (NCA) across Italy over a four-year study period.
- - In a sample of 216,424 NCA, 88 individuals (4.1 per 10,000) were identified with Wolff-Parkinson-White (WPW) syndrome, primarily in the 10-15 year age group, with no significant sex differences noted.
- - The study revealed that the most common accessory pathways for WPW syndrome were in the right antero-septal, mid-septal, and postero-septal areas, with 9% of those diagnosed exhibiting intermittent pre-excitation.
Midseptal and Anteroseptal Accessory Pathway Ablation in Children.
J Clin Med
November 2024
University Hospital Center Sestre Milosrdnice, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
The goal of this study is to document outcomes of ablation for high-risk accessory pathways in paediatrics using 3D mapping systems with minimal to zero fluoroscopy. It is a cross-sectional, multicentre study, conducted between 2013 and 2023, and involving four different centres in Hungary, Croatia, Kuwait, and Slovenia. A total of 128 procedures were performed on 111 patients.
View Article and Find Full Text PDFCase Report: Focal cryoablation vs. radiofrequency ablation in a pediatric patient with para-Hisian accessory pathway with effect from the non-coronary aortic cusp.
Front Pediatr
August 2024
Department of Interventional Arrhythmology, University Medical Center, Astana, Kazakhstan.
Article Synopsis
- A pediatric patient diagnosed with Wolff-Parkinson-White syndrome showed anteroseptal accessory pathway in their 12-lead ECG.
- Due to recurring arrhythmia, the patient underwent three ablation procedures.
- Successful cryoablation was eventually performed at the non-coronary cusp of the aortic root, resolving the issue.
Is this an anteroseptal accessory pathway?
J Electrocardiol
August 2024
Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China. Electronic address:
The ECG of a patient during sinus rhythm shows preexcited QRS pattern, with rS pattern in lead V1, transition in lead V2, and positive inferior leads. Following the stepwise algorithms, the location of accessory pathway (AP) was identified at anteroseptal region. However, the precordial transition in lead V2 indicates mid-septal or posteroseptal AP.
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