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Wolff–Parkinson–White syndrome: a single exercise stress test might be misleading

Published online by Cambridge University Press:  21 November 2016

Arash Salavitabar ,
Eric S. Silver  and
Leonardo Liberman
Arash Salavitabar
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, New York-Presbyterian Morgan Stanley Children’s Hospital, Columbia University Medical Center, New York, New York, United States of America
Eric S. Silver
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, New York-Presbyterian Morgan Stanley Children’s Hospital, Columbia University Medical Center, New York, New York, United States of America
Leonardo Liberman*
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, New York-Presbyterian Morgan Stanley Children’s Hospital, Columbia University Medical Center, New York, New York, United States of America
*
Correspondence to: L. Liberman, MD, Department of Pediatrics, Division of Pediatric Cardiology, New York-Presbyterian Morgan Stanley Children’s Hospital, 3959 Broadway, Room 255, New York, NY 10032, United States of America. Tel: 212 305 8509; Fax: 212 342 5721; E-mail: [email protected]
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Abstract

Risk stratification of patients with Wolff–Parkinson–White syndrome for sudden death is a complex process, particularly in understanding the utility of the repeat exercise stress test. We report a case of an 18-year-old patient who was found to have a high-risk pathway by both invasive and exercise stress testing after an initial exercise stress test showing beat-to-beat loss of pre-excitation.

Keywords

Wolff–Parkinson–Whitepre-excitationexercise stress test
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 4 , May 2017 , pp. 804 - 807
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Copyright
© Cambridge University Press 2016 

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References

1. Cohen, MI, Triedman, JK, Cannon, BC, et al. PACES/HRS expert consensus statement on the management of the asymptomatic young patient with Wolff–Parkinson–White (WPW, ventricular preexcitation) electrocardiographic pattern. Heart Rhythm 2012; 9: 1006–1024.Google Scholar
2. Daubert, C, Ollitrault, J, Descaves, C, Mabo, P, Ritter, P, Gouffault, J. Failure of the exercise test to predict anterograde refractory period of the accessory pathway in Wolff Parkinson White syndrome. PACE 1988; 11: 1130–1138.Google Scholar
3. Bricker, JT, Porter, CJ, Garson, A, et al. Exercise testing in children with Wolff–Parkinson–White syndrome. Am J Cardiol 1985; 55: 1001–1004.CrossRefGoogle ScholarPubMed
4. Strasberg, B, Ashley, WW, Wyndham, CRC, et al. Treadmill exercise testing in the Wolff–Parkinson–White syndrome. Am J Cardiol 1980; 45: 742–748.Google Scholar
5. Spar, D, Silver, ES, Hordof, AJ, Liberman, L. Relation of the utility of exercise testing for risk assessment in pediatric patients with ventricular preexcitation to pathway location. Am J Cardiol 2012; 109: 1011–1014.Google Scholar
6. Gaita, F, Giustetto, C, Riccardi, R, Mangiardi, L, Brusca, A. Stress and pharmacologic tests as methods to identify patients with Wolff–Parkinson–White Syndrome at risk of sudden death. Am J Cardiol 1989; 64: 487–490.Google Scholar
7. Wackel, P, Irving, C, Webber, S, Beerman, L, Arora, G. Risk stratification in Wolff–Parkinson–White syndrome: The correlation between noninvasive and invasive testing in pediatric patients. PACE 2012; 35: 1451–1457.Google Scholar
8. Campbell, RM, Strieper, MJ, Frias, PA, Collins, KK, Van Hare, GF, Dubin, AM. Survey of current practice of pediatric electrophysiologists for asymptomatic Wolff–Parkinson–White syndrome. Pediatrics 2003; 111: 243–247.Google Scholar
9. Pappone, C, Radinovic, A, Santinelli, V. Sudden death and ventricular preexcitation: is it necessary to treat the asymptomatic patients? Current Pharmaceutical Design 2008; 14: 762–765.Google Scholar