Longitudinal Electrophysiologic Assessment of Asymptomatic Patients with the Wolff–Parkinson–White Electrocardiographs Pattern
Abstract
Although most asymptomatic patients with the Wolff-Parkinson-White electrocardiographic pattern have a good prognosis, some die suddenly. The mechanism of sudden death is usually ventricular fibrillation, which is triggered by atrial fibrillation with a rapid ventricular response rate. Electrophysiologic testing has been proposed to identify asymptomatic patients who may be at risk for sudden death. Meaningful application of such testing requires a knowledge of whether the electrophysiologic measurements are reproducible over time. Consequently, we performed electrophysiologic studies on two occasions at least 36 months apart (mean +/- SD, 54.7 +/- 14) in 29 asymptomatic patients with the pattern. Twenty-seven patients remained asymptomatic, and sustained supraventricular tachycardia developed in two during the follow-up period. Nine patients (31 percent) lost the capacity for preexcitation and anterograde conduction over the accessory pathway, which produces the Wolff-Parkinson-White pattern. The others had little change in measurements of conduction over the accessory pathway. Patients who lost conduction over the accessory pathway tended to be older (mean +/- SD, 50 +/- 18 vs. 39 +/- 11 years; P = 0.06) than patients who retained preexcitation, and they had longer anterograde effective refractory periods at the first assessment (414 +/- 158 vs. 295 +/- 27 msec; P = 0.003). We conclude that a considerable number of asymptomatic patients with the Wolff-Parkinson-White pattern lose their capacity for anterograde conduction over the accessory pathway. This loss of capacity probably contributes to the low mortality among asymptomatic patients.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Several randomized and observational studies indicate that risk stratification using invasive electrophysiological testing may be beneficial in the asymptomatic WPW population.
“Several randomized and observational studies indicate that in the asymptomatic WPW population risk stratification using an invasive electrophysiological testing may be beneficial (Table 17).322,336,337,339,341,343”
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 [337]
Cites
Ventricular fibrillation in the Wolff-Parkinson-White syndrome
Klein, G. J., Bashore, T. M., Sellers, T. D., Pritchett, E. L. C., Smith, W. M., & Gallagher, J. J. (1979) · New England Journal of Medicine · doi:10.1056/nejm197911153012003 · Cited by 830 · see citing works
Self-citationIntermittent preexcitation in the wolff-parkinson-white syndrome
Klein, G. J., & Gulamhusein, S. S. (1983) · The American Journal of Cardiology · doi:10.1016/0002-9149(83)90125-x · Cited by 172 · see citing works
Self-citationMilstein, S., Sharma, A. D., Guiraudon, G. M., & Klein, G. J. (1987) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1987.tb04520.x · Cited by 166 · see citing works
Self-citationThe Wolff–Parkinson–White Electrocardiogram
BERKMAN, N. L., & Lamb, L. E. (1968) · New England Journal of Medicine · doi:10.1056/nejm196802292780906 · Cited by 120 · see citing works
Electrophysiologic profile of asymptomatic Wolff-Parkinson-White pattern
Milstein, S., Sharma, A. D., & Klein, G. J. (1986) · The American Journal of Cardiology · doi:10.1016/0002-9149(86)90681-8 · Cited by 98 · see citing works
Self-citationWOLFF‐PARKINSON‐WHITE SYNDROME
Flensted-Jensen, E. (1969) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1969.tb01441.x · Cited by 94 · see citing works
Wolff-Parkinson-White syndrome. A long-term follow-up of 47 cases.
Flensted-Jensen, E. (1969) · PubMed · Cited by 83 · see citing works
The Wolff-Parkinson-White Syndrome as an Aviation Risk
Smith, R. F. (1964) · Circulation · doi:10.1161/01.cir.29.5.672 · Cited by 79 · see citing works
Klein, G. J., Hackel, D. B., & Gallagher, J. J. (1980) · Circulation · doi:10.1161/01.cir.61.6.1249 · Cited by 68 · see citing works
Self-citationPre-excitation syndrome: Facts and theories
(1980) · American Heart Journal · doi:10.1016/0002-8703(80)90298-7 · Cited by 24 · see citing works
Fujiki, A., Yoshida, S., Tani, M., & Sasayama, S. (1988) · Journal of Electrocardiology · doi:10.1016/s0022-0736(88)80027-x · Cited by 10 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H., Conti, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., et al. (2016) · Circulation · doi:10.1161/cir.0000000000000311 · Cited by 595 · see citing works
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H., Conti, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., et al. (2016) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2015.08.856 · Cited by 439 · see citing works
Supraventricular tachycardia mechanisms and their age distribution in pediatric patients
Ko, J. K., Deal, B. J., Strasburger, J. F., & Benson, D. W. (1992) · The American Journal of Cardiology · doi:10.1016/0002-9149(92)90858-v · Cited by 402 · see citing works
Cohen, M. I., Triedman, J. K., Cannon, B. C., Davis, A. M., Drago, F., Janoušek, J., Klein, G. J., Law, I. H., Morady, F., Paul, T., et al. (2012) · Heart Rhythm · doi:10.1016/j.hrthm.2012.03.050 · Cited by 379 · see citing works
Self-citationPerry, J. C., & Garson, A. (1990) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(90)90555-4 · Cited by 316 · see citing works
Pappone, C., Santinelli, V., Rosanio, S., Vicedomini, G., Nardi, S., Pappone, A., Tortoriello, V., Manguso, F., Mazzone, P., Gulletta, S., et al. (2003) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(02)02706-7 · Cited by 276 · see citing works
Pappone, C., Santinelli, V., Manguso, F., Augello, G., Santinelli, O., Vicedomini, G., Gulletta, S., Mazzone, P., Tortoriello, V., Pappone, A., et al. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa035345 · Cited by 236 · see citing works
Pappone, C., Vicedomini, G., Manguso, F., Saviano, M., Baldi, M., Pappone, A., Ciaccio, C., Giannelli, L., Ionescu, B., Petretta, A., et al. (2014) · Circulation · doi:10.1161/circulationaha.114.011154 · Cited by 212 · see citing works
The Natural History of Asymptomatic Ventricular Pre-Excitation
Santinelli, V., Radinovic, A., Manguso, F., Vicedomini, G., Gulletta, S., Paglino, G., Mazzone, P., Ciconte, G., Sacchi, S., Sala, S., et al. (2009) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2008.09.037 · Cited by 204 · see citing works
2015 ACC/AHA/HRS guideline for the management of adult patients with supraventricular tachycardia
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H. G., CONTI, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., et al. (2015) · Heart Rhythm · doi:10.1016/j.hrthm.2015.09.019 · Cited by 208 · see citing works
Katritsis, D. G., Boriani, G., Cosio, F. G., Hindricks, G., Jaïs, P., Josephson, M. E., Keegan, R., Kim, Y.-H., Knight, B. P., Kuck, K.-H., et al. (2017) · Europace · doi:10.1093/europace/euw301 · Cited by 188 · see citing works
Ganz, L. I., & Friedman, P. L. (1995) · New England Journal of Medicine · doi:10.1056/nejm199501193320307 · Cited by 177 · see citing works
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H. G., CONTI, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., et al. (2015) · Circulation · doi:10.1161/cir.0000000000000310 · Cited by 183 · see citing works
Risk of Arrhythmia and Sudden Death in Patients With Asymptomatic Preexcitation
Obeyesekere, M., Leong‐Sit, P., Massel, D. R., Manlucu, J., Modi, S. S., Krahn, A. D., Skanes, A. C., Yee, R. K., Gula, L. J., & Klein, G. J. (2012) · Circulation · doi:10.1161/circulationaha.111.055350 · Cited by 177 · see citing works
Self-citationTomaske, M., Janoušek, J., Rázek, V., Gebauer, R., Tomek, V., Hindricks, G., Knirsch, W., & Bauersfeld, U. (2008) · EP Europace · doi:10.1093/europace/eun005 · Cited by 122 · see citing works
Langberg, J. J., Calkins, H. G., Kim, Y.-N., de Sousa, J., El-Atassi, R., León, A. R., Borganelli, M., Kalbfleisch, S. J., & Morady, F. (1992) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(92)90622-t · Cited by 120 · see citing works
Wellens, H. J. J. (2005) · Circulation · doi:10.1161/circulationaha.104.483321 · Cited by 113 · see citing works
The Natural History of Electrocardiographic Preexcitation in Men: The Manitoba Follow-up Study
Krahn, A. D., Manfreda, J., Tate, R. B., Mathewson, F. A. L., & Cuddy, T. E. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-116-6-456 · Cited by 107 · see citing works
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H. G., CONTI, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., et al. (2015) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2015.09.019 · Cited by 100 · see citing works
Chen, S., Chiang, C., Yang, C.-J., Cheng, C., Wu, T., Wang, S., Chiang, B. N., & Chang, M.-S. (1994) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(94)90757-9 · Cited by 93 · see citing works
Santinelli, V., Radinovic, A., Manguso, F., Vicedomini, G., Ciconte, G., Gulletta, S., Paglino, G., Sacchi, S., Sala, S., Ciaccio, C., et al. (2009) · Circulation Arrhythmia and Electrophysiology · doi:10.1161/circep.108.827550 · Cited by 83 · see citing works
Al‐Khatib, S. M., Arshad, A., Balk, E. M., Das, S. R., Hsu, J. C., Joglar, J. A., & Page, R. L. (2015) · Circulation · doi:10.1161/cir.0000000000000309 · Cited by 70 · see citing works
Prevalence of ventricular preexcitation in Japanese schoolchildren
Sano, S., Komori, S., Amano, T., Kohno, I., Ishihara, T., Sawanobori, T., Ijiri, H., & Tamura, K. (1998) · Heart · doi:10.1136/hrt.79.4.374 · Cited by 65 · see citing works
The Results of Radiofrequency Catheter Ablation of Supraventricular Tachycardia in Children
Lee, P.-C., Hwang, B., Chen, S., TAI, C., Chen, Y., Chiang, C., & Meng, C. C. L. (2007) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2007.00727.x · Cited by 62 · see citing works
Chen, S., Chiang, C., Tai, C., Lee, S., Chiou, C.-W., Kwo-Chang, U., Wen, Z., Cheng, C., & Chang, M.-S. (1996) · Circulation · doi:10.1161/01.cir.93.11.2023 · Cited by 53 · see citing works
Al-Khatib, S. M., Arshad, A., Balk, E. M., Das, S. R., Hsu, J. C., Joglar, J. A., & Page, R. L. (2016) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2015.09.018 · Cited by 50 · see citing works
TODD, D. M., Klein, G. J., Krahn, A. D., Skanes, A. C., & Yee, R. K. (2003) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(02)02707-9 · Cited by 47 · see citing works
Self-citationFan, W., Peter, C. T., Gang, E. S., & Mandel, W. J. (1991) · American Heart Journal · doi:10.1016/0002-8703(91)90520-r · Cited by 47 · see citing works
Sarubbi, B., D’Alto, M., Vergara, P., Calvanese, R., Mercurio, B., Russo, M. G., & Calabrò, R. (2005) · International Journal of Cardiology · doi:10.1016/j.ijcard.2003.10.017 · Cited by 44 · see citing works
Long-term outcome of patients with atrioventricular node reentrant tachycardia
D’Este, D., Zoppo, F., Bertaglia, E., Zerbo, F., Picciolo, A., Scarabeo, V., Pascotto, A., & Pascotto, P. (2007) · International Journal of Cardiology · doi:10.1016/j.ijcard.2006.04.035 · Cited by 43 · see citing works
The Asymptomatic Patient with the Wolff‐Parkinson‐White Electrocardiogram
Wellens, H. J. J., RODRIGUEZ, L. M., Timmermans, C. C., & Smeets, J. L. R. M. (1997) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1997.tb03633.x · Cited by 42 · see citing works
YAMAMOTO, T., Yeh, S., Lin, F., & Wu, D. (1990) · The American Journal of Cardiology · doi:10.1016/0002-9149(90)91351-6 · Cited by 42 · see citing works
Inoue, K., Igarashi, H., Fukushige, J., Ohno, T., Joh, K., & Hara, T. (2000) · Acta Paediatrica · doi:10.1080/080352500750027817 · Cited by 41 · see citing works
Supraventricular Tachycardia—Part I
Lee, K. W., Badhwar, N., & Scheinman, M. M. (2008) · Current Problems in Cardiology · doi:10.1016/j.cpcardiol.2008.06.002 · Cited by 38 · see citing works
Coelho, B. W. T., & Gonçalves, R. B. (2010) · Zenodo (CERN European Organization for Nuclear Research) · doi:10.5281/zenodo.199196 · Cited by 38 · see citing works
WPW Pattern in the Asymptomatic Individual
Klein, G. J., Gula, L. J., Krahn, A. D., Skanes, A. C., & Yee, R. K. (2009) · Circulation Arrhythmia and Electrophysiology · doi:10.1161/circep.109.859827 · Cited by 36 · see citing works
Self-citationBrembilla-Perrot, B., Chometon, F., Groben, L., Ammar, S., Bertrand, J., Marcha, C., Cloez, J. L., Tisserand, A., Huttin, O., Tatar, C., et al. (2007) · EP Europace · doi:10.1093/europace/eum153 · Cited by 36 · see citing works
Influence of age on the electrophysiological mechanism of paroxysmal supraventricular tachycardias
Brembilla-Perrot, B., Houriez, P., Beurrier, D., Claudon, O., Burger, G., Vançon, A. C., & Mock, L. (2001) · International Journal of Cardiology · doi:10.1016/s0167-5273(01)00392-8 · Cited by 36 · see citing works
van der Beek, N. A. M. E., Soliman, O. I. I., van Capelle, C. I., Geleijnse, M. L., Vletter, W. B., Kroos, M. A., Reuser, A. J. J., Frohn-Mulder, I. M. E., van Doorn, P. A., & van der Ploeg, A. T. (2008) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2008.07.013 · Cited by 34 · see citing works
Vignati, G., Balla, E., Mauri, L., Lunati, M., & Figini, A. (2000) · Cardiology in the Young · doi:10.1017/s1047951100009677 · Cited by 34 · see citing works
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H. G., CONTI, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., et al. (2015) · Heart Rhythm · doi:10.1016/j.hrthm.2015.09.018 · Cited by 32 · see citing works
Wu, M., Lin, J.-L., Lai, L.-P., Young, M., Lu, C., Chang, Y.-C., Wang, J., & Lue, H. (2000) · International Journal of Cardiology · doi:10.1016/s0167-5273(99)00183-7 · Cited by 29 · see citing works
Chauhan, V. S., Krahn, A. D., Klein, G. J., Skanes, A. C., & Yee, R. K. (2001) · Medical Clinics of North America · doi:10.1016/s0025-7125(05)70313-8 · Cited by 28 · see citing works
Self-citationFukunaga, H., Akimoto, K., Furukawa, T., Takahashi, K., Kishiro, M., Shimizu, T., Kamiyama, H., & Sumitomo, N. (2013) · Heart and Vessels · doi:10.1007/s00380-013-0322-5 · Cited by 27 · see citing works
Al‐Khatib, S. M., Arshad, A., Balk, E. M., Das, S. R., Hsu, J. C., Joglar, J. A., & Page, R. L. (2015) · Heart Rhythm · doi:10.1016/j.hrthm.2015.09.017 · Cited by 27 · see citing works
Risk Factors of Adverse Presentation as the First Arrhythmia in Wolff-Parkinson-White Syndrome
Brembilla-Perrot, B., Tatar, C., & Selton‐Suty, C. (2010) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2010.02782.x · Cited by 25 · see citing works
Perez, M. V., Fonda, H., Le, V., Mitiku, T. Y., Ray, J. W., Freeman, J. V., Ashley, E. A., & Froelicher, V. F. (2009) · Current Problems in Cardiology · doi:10.1016/j.cpcardiol.2009.08.002 · Cited by 25 · see citing works
Bergfeldt, L., Melander, H., & Schenck-Gustafsson, K. G. (1991) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(91)90804-i · Cited by 25 · see citing works
Sarubbi, B. (2006) · Journal of Cardiovascular Medicine · doi:10.2459/01.jcm.0000219320.97256.4d · Cited by 22 · see citing works
2020 Clinical practice guidelines for Supraventricular tachycardia in adults
Bokeria, L. A., Golukhova, E. Z., Popov, S. V., Artyukhina, Е. А., Базаев, В. А., Batalov, R. E., Bokeria, O. L., Vygovsky, A. B., Gilyarov, M. Y., Sp, G., et al. (2021) · Russian Journal of Cardiology · doi:10.15829/1560-4071-2021-4484 · Cited by 23 · see citing works
Park, H. E., Chang, S., Kim, J.-H., Oh, I., Choi, E., & Oh, S. (2012) · Heart and Vessels · doi:10.1007/s00380-012-0233-x · Cited by 22 · see citing works
Chevalier, P., Cadi, F., Scridon, A., Girerd, N., Bejan‐Angoulvant, T., Morel, É., Hot, I. J., Filippo, S. D., Ganne, C., & Colin, C. (2013) · Circulation Arrhythmia and Electrophysiology · doi:10.1161/circep.112.970459 · Cited by 22 · see citing works
Rosenfeld, L. E., Zetta, A. M. V., & Batsford, W. P. (1991) · The American Journal of Cardiology · doi:10.1016/0002-9149(91)90526-q · Cited by 21 · see citing works
Supraventricular Tachycardia—Part II: History, Presentation, Mechanism, and Treatment
Lee, K. W., Badhwar, N., & Scheinman, M. M. (2008) · Current Problems in Cardiology · doi:10.1016/j.cpcardiol.2008.06.004 · Cited by 20 · see citing works
Clues to the electrocardiographic diagnosis of subtle Wolff-Parkinson-White syndrome in children
Perry, J. C., Giuffre, R. M., & Garson, A. (1990) · The Journal of Pediatrics · doi:10.1016/s0022-3476(05)80124-6 · Cited by 20 · see citing works
Steinbeck, G. (1993) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1993.tb01638.x · Cited by 17 · see citing works
Asymptomatic ventricular pre-excitation in children
Fazio, G., Mossuto, C., Basile, I., Gennaro, F., D’Angelo, L., Visconti, C. L., Ferrara, F., Novo, G., Pipitone, S., & Novo, S. (2009) · Journal of Cardiovascular Medicine · doi:10.2459/jcm.0b013e32831a98c2 · Cited by 16 · see citing works
Current Management of the Wolff-Parkinson-White Syndrome
Bartlett, T. G., & Friedman, P. L. (1993) · Journal of Cardiac Surgery · doi:10.1111/j.1540-8191.1993.tb00401.x · Cited by 15 · see citing works
Ren, J., Yang, Y., Zhu, J., Wu, S., Wang, J., Zhang, H., & Shao, X. (2020) · Pacing and Clinical Electrophysiology · doi:10.1111/pace.14113 · Cited by 14 · see citing works
Sudden Death and Ventricular Preexcitation: Is it Necessary to Treat the Asymptomatic Patients?
Pappone, C., Radinovic, A., & Santinelli, V. (2008) · Current Pharmaceutical Design · doi:10.2174/138161208784007662 · Cited by 14 · see citing works
A Functional Approach to the Preexcitation Syndromes
Oren, J. W., Beckman, K. J., McClelland, J. H., Wang, X., Lazzara, R., & Jackman, W. M. (1993) · Cardiology Clinics · doi:10.1016/s0733-8651(18)30196-6 · Cited by 14 · see citing works
Skanes, A. C., Obeyesekere, M., & Klein, G. J. (2015) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2015.05.002 · Cited by 13 · see citing works
Self-citationInfluence of Age on Atrial Fibrillation Inducibility
Brembilla-Perrot, B., Burger, G., Beurrier, D., Houriez, P., Nippert, M., Miljoen, H., Andronache, M., Khaldi, E., Popovic, B., Chaise, A. T. D. L., et al. (2004) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2004.00429.x · Cited by 13 · see citing works
Electrophysiological evaluation of Wolff-Parkinson-White syndrome.
Brembilla-Perrot, B. (2002) · PubMed · Cited by 13 · see citing works
Chen, C., Li, D., Miao, C., Feng, J., Zhou, Y., Cao, K., Lloyd, M. S., & Chen, J. (2012) · European Journal of Nuclear Medicine and Molecular Imaging · doi:10.1007/s00259-012-2101-4 · Cited by 12 · see citing works
Risk markers of sudden cardiac death in standard 12-lead electrocardiograms
Junttila, J. M., Castellanos, A., Huikuri, H. V., & Myerburg, R. J. (2011) · Annals of Medicine · doi:10.3109/07853890.2011.594807 · Cited by 12 · see citing works
Chang, R. R., Wetzel, G. T., Shannon, K. M., Stevenson, W. G., & Klitzner, T. S. (1995) · The American Journal of Cardiology · doi:10.1016/s0002-9149(99)80303-8 · Cited by 12 · see citing works
Causas de muerte súbita. Problemas a la hora de establecer y clasificar los tipos de muerte
Font, E. R., & Viñolas, X. (1999) · Revista Española de Cardiología · doi:10.1016/s0300-8932(99)75027-x · Cited by 17 · see citing works
Asymptomatic Wolff-Parkinson-White Syndrome: An Ounce of Prevention Is Worth the Risk of Cure
Etheridge, S. P., Gakenheimer‐Smith, L., Asaki, S. Y., & Niu, M. C. (2023) · Current Cardiology Reports · doi:10.1007/s11886-023-01879-6 · Cited by 10 · see citing works
Reproducibility of Transesophageal Pacing in Patients with Wolff‐Parkinson‐White Syndrome
Fenici, R., Ruggieri, M. P., Lillo, M. D., & Fenici, P. (1996) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1996.tb03260.x · Cited by 11 · see citing works
Pauriah, M., Cismaru, G. L., Sellal, J., de Chillou, C., & Brembilla-Perrot, B. (2013) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2012.12.019 · Cited by 10 · see citing works
Li, C.-H., Hu, Y., Lin, Y., Chang, S., Lo, L., TA-CHUAN, T., Lee, P.-C., Huang, S.-Y., Suenari, K., TUNG, N. H., et al. (2010) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2010.01906.x · Cited by 10 · see citing works
Erdoğan, İ., Özer, S., Karagöz, T., Şahin, M., & Çeliker, A. (2009) · The Turkish Journal of Pediatrics · doi:10.24953/turkjpediatr.2009.2360 · Cited by 10 · see citing works
Current management of the Wolff-Parkinson-White syndrome.
Arai, A. E., & Kron, J. (1990) · PubMed Central · Cited by 10 · see citing works
Use of medications in Wolff-Parkinson-White syndrome
Redfearn, D., Krahn, A. D., Skanes, A. C., Yee, R. K., & Klein, G. J. (2005) · Expert Opinion on Pharmacotherapy · doi:10.1517/14656566.6.6.955 · Cited by 10 · see citing works
Self-citationEvaluation of Abnormal Signal-averaged Electrocardiograms in Young Athletes.
Moroe, K., Kimoto, K., Inoue, T., Annoura, M., Oku, K., Arakawa, K., HIROKI, T., Kiyonaga, A., Mukaino, Y., & Shindo, M. (1995) · Japanese Circulation Journal-english Edition · doi:10.1253/jcj.59.247 · Cited by 10 · see citing works
Liu, S., Olsson, S. B., Hertervig, E. J., Kongstad, O., & Yuan, S. (2001) · Clinical Physiology · doi:10.1046/j.1365-2281.2001.00347.x · Cited by 10 · see citing works
Tratamiento de los pacientes con preexcitación ventricular
Garrote, J. A., Torrecilla, E. G., Atienza, F., Escribano, D. V., & Arenal, Á. (2004) · Revista Española de Cardiología · doi:10.1016/s0300-8932(04)77206-1 · Cited by 9 · see citing works
Wongcharoen, W., Lin, Y., Chung, F., Chen, Y., Chao, T., Chen, P., Chien, K., & Chen, S. (2017) · EP Europace · doi:10.1093/europace/eux115 · Cited by 9 · see citing works
Age-Related Changes in Arrhythmias and Electrophysiologic Properties
Brembilla-Perrot, B. (2003) · Cardiac Electrophysiology Review · doi:10.1023/a:1023611727947 · Cited by 8 · see citing works
Nanthakumar, K., Bergfeldt, L., & Darpö, B. (1999) · EP Europace · doi:10.1053/eupc.1998.0010 · Cited by 8 · see citing works
Wu, T., Chen, S., Chiang, C., Yang, C.-J., Cheng, C., Wang, S., Chiang, B. N., & Chang, M.-S. (1993) · American Heart Journal · doi:10.1016/0002-8703(93)90532-e · Cited by 8 · see citing works
Akimoto, S., Fukunaga, H., Akiya, A., Hosono, Y., Iso, T., Shigemitsu, S., Tanaka, N., Tabuchi, H., Hayashi, H., Sekita, G., et al. (2021) · Heart and Vessels · doi:10.1007/s00380-021-01848-5 · Cited by 7 · see citing works
Doğduş, M., Dindaş, F., Turan, O. E., Yılancıoglu, R. Y., Özgül, U., İnevi, U., & Özcan, E. E. (2022) · Echocardiography · doi:10.1111/echo.15473 · Cited by 6 · see citing works
When and how to assess an asymptomatic ventricular pre-excitation syndrome?
Brembilla-Perrot, B. (2008) · Archives of cardiovascular diseases · doi:10.1016/j.acvd.2008.05.006 · Cited by 6 · see citing works
Nakabayashi, K., Sugiura, R., Mizuno, Y., Kato, H., Nakazawa, N., Suzuki, T., Saito, H., Kawakatsu, N., Goto, M., Isomura, D., et al. (2017) · Internal Medicine · doi:10.2169/internalmedicine.8205-16 · Cited by 6 · see citing works
Brembilla-Perrot, B., & Dechaux, J. P. (1992) · American Heart Journal · doi:10.1016/0002-8703(92)90678-o · Cited by 6 · see citing works
Evolution of Clinical and Electrophysiological Data in Children with a Preexcitation Syndrome
Brembilla-Perrot, B., Sellal, J., Olivier, A., Villemin, T., Moulin-Zinsch, A., Beurrier, D., Lethor, J. P., Marçon, F., de Chillou, C., Felblinger, J., et al. (2016) · Pacing and Clinical Electrophysiology · doi:10.1111/pace.12922 · Cited by 6 · see citing works
Wolff-Parkinson-White Syndrome
Prystowsky, E. N., Yee, R., & Klein, G. J. (2004) · Elsevier eBooks · doi:10.1016/b0-7216-0323-8/50097-x · Cited by 6 · see citing works
Self-citationClinical electrophysiological studies and the Wolff-Parkinson-White pattern.
Fisch, C. (1990) · Circulation · doi:10.1161/01.cir.82.5.1872 · Cited by 6 · see citing works
Treatment of Patients With Ventricular Preexcitation
Garrote, J. A., Torrecilla, E. G., Atienza, F., Escribano, D. V., & Arenal, Á. (2004) · Revista Española de Cardiología (English Edition) · doi:10.1016/s1885-5857(06)60651-8 · Cited by 5 · see citing works
Erdoğan, O. (2008) · Journal of Cardiovascular Medicine · doi:10.2459/jcm.0b013e3282f2d838 · Cited by 5 · see citing works
Unresolved questions associated with the management of ventricular preexcitation syndrome
Brembilla-Perrot, B., Girerd, N., & Sellal, J. (2018) · Pacing and Clinical Electrophysiology · doi:10.1111/pace.13367 · Cited by 5 · see citing works
Pediatric pre-excitation: Say “no” to drags?
Schoenfeld, M. H. (1990) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(90)90556-5 · Cited by 5 · see citing works
Zábrodská, E., Kvasilová, A., Sedmera, D., & Olejníčková, V. (2024) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00115.2024 · Cited by 4 · see citing works
The infant with supraventricular tachycardia: Diagnosis and management
Etheridge, S. P., & Saarel, E. V. (2012) · Progress in Pediatric Cardiology · doi:10.1016/j.ppedcard.2012.11.001 · Cited by 4 · see citing works
Transesophageal electrophysiologic study in children and young patients
Özer, S., Çeliker, A., Karagöz, T., & Melek, E. (2007) · The Turkish Journal of Pediatrics · doi:10.24953/turkjpediatr.2007.2507 · Cited by 4 · see citing works
Does the age of evaluation change the long-term follow-up of untreated pre-excitation syndrome?
Brembilla-Perrot, B., Vincent, J., Olivier, A., Bozec, E., Girerd, N., & Sellal, J. (2018) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2018.06.009 · Cited by 4 · see citing works
Hessling, G., Schneider, M., Pustowoit, A., & Schmitt, C. (2006) · Steinkopff eBooks · doi:10.1007/3-7985-1576-x_4 · Cited by 4 · see citing works
Disturbances of Cardiac Rhythm
Spratt, K. A., Michelson, E. L., & Dreifus, L. S. (1993) · Developments in cardiovascular medicine · doi:10.1007/978-1-4615-3516-4_8 · Cited by 4 · see citing works
- Authors
- Klein, G. J., Yee, R., & Sharma, A. D.
- Affiliations
- London Health Sciences Centre (CA)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1989-05-11
- Volume
- 320
- Issue
- 19
- Pages
- 1229-1233
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2340334067
- Cited by
- 156
- References
- 11
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 4 · 2018: 4 · 2017: 7 · 2016: 3 · 2015: 13 · 2014: 3 · 2013: 4 · 2012: 10
- FWCI
- 6.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (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 › Cardiac pacing and defibrillation studies
- Keywords
- Wolff-Parkinson-White syndrome, asymptomatic patients, accessory pathway, preexcitation, effective refractory period, sudden cardiac death, ventricular fibrillation, atrial fibrillation, supraventricular tachycardia
- MeSH terms
- Atrial Fibrillation, Electrocardiography, Female, Heart Conduction System, Humans, Longitudinal Studies, Male, Middle Aged, Refractory Period, Electrophysiological, Ventricular Fibrillation, Wolff-Parkinson-White Syndrome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
