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J Am Coll Cardiol, 1996; 27:690-695
© 1996 by the American College of Cardiology Foundation
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Impact of clinical history and electrophysiologic characterization of accessory pathways on management strategies to reduce sudden death among children with Wolff-Parkinson-White syndrome

BI Bromberg, BD Lindsay, ME Cain, and JL Cox

Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.

OBJECTIVES: This study sought to determine whether the clinical and electrophysiologic criteria developed in adults also identify children with Wolff-Parkinson-White syndrome at risk for sudden death. BACKGROUND: In adults with Wolff-Parkinson-White syndrome, a shortest RR interval <220 ms during atrial fibrillation is a sensitive marker for sudden death. However, because reliance on the shortest RR interval has a low positive predictive value, the clinical history has assumed a pivotal role in assessing risk. This approach has not been evaluated in children. METHODS: We retrospectively evaluated 60 children


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Copyright © 1996 by the American College of Cardiology Foundation.