Epidemiological profile of Wolff–Parkinson–White syndrome in a general population younger than 50years of age in an era of radiofrequency catheter ablation
Abstract
Background The prevalence of Wolff-Parkinson-White (WPW) syndrome varies between 0.68 and 1.7/1000. The epidemiological profile may be modified after the introduction of transcatheter interventions.Objectives The aim of this study is to investigate the epidemiological trends of the WPW syndrome in a general population during a period with available and reimbursed transcatheter ablation.Methods and results Data of WPW patients <50 years old were retrieved from our national database (2000-2010). We identified 6086 (61% male) patients, accounting for an overall prevalence of 0.36/1000 with a peak of 0.61/1000 in ages 20-24 years. The risk of death and sudden death was 0.071% and 0.02% per patient-year, respectively. The 42 deaths occurred at a median age of 29 years. Associated congenial heart disease was noted in 158 (2.6%) patients, including 42 with Ebstein's anomaly that increased the mortality risk (P=0.001, OR=8.5). In those without congenital heart disease, myocardial dysfunction occurred in 115 (1.9%) patients and increased the risk of death (P<0.001, OR=10.6) and sudden death. Radiofrequency catheter ablation was performed in 2527 patients at a median age of 25.7 years (4.54% per patient-year, discharge mortality 0.16%); 11 (0.4%) before the age of 5, and 2231 (88%) after the age of 15. Whereas repeated ablation procedures accounted for 6.0% of the procedures, those in Ebstein's patients were 25%.Conclusion Radiofrequency catheter ablation is already a common treatment for WPW patients, particularly during young adulthood, which accounts for a lower prevalence. Myocardial dysfunction and associated congenital heart disease remain as risks of mortality.
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Not all patients with manifest ventricular preexcitation develop paroxysmal SVT.
“However, not all patients with manifest ventricular preexcitation develop paroxysmal SVT.6,8”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [6]
Data from specialized centres on paroxysmal SVT patients referred for electrophysiology procedures indicate that patients tend to be younger, have similar age distribution, and lower prevalence of cardiovascular comorbidities.
“Data from specialized centres reporting on paroxysmal SVT patients referred for electrophysiology procedures, indicate that patients tend to be younger, have similar age distribution, and lower prevalence of cardiovascular comorbidities.5 -7”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [6]
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- Authors
- Lu, C.-W., Wu, M.-H., Chen, H.-C., Kao, F.-Y., & Huang, S.-K.
- Affiliations
- National Taiwan University (TW)
- Genomics Research Center, Academia Sinica (TW)
- Venue
- International Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2014-07
- Volume
- 174
- Issue
- 3
- Pages
- 530-534
- ISSN
- 0167-5273 (ISSN-L)
- OpenAlex
- W1991143691
- Cited by
- 51
- References
- 28
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 7 · 2019: 7 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 9 · 2014: 2
- FWCI
- 4.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Keywords
- Wolff-Parkinson-White syndrome, prevalence, radiofrequency catheter ablation, sudden cardiac death, Ebstein's anomaly, congenital heart disease, cardiac dysfunction, mortality risk, young adults, repeat ablation
- MeSH terms
- Adolescent, Adult, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Population Surveillance, Retrospective Studies, Taiwan, Wolff-Parkinson-White Syndrome, Catheter Ablation, International Classification of Diseases, Young Adult
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