The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
Diagnosis and Cure of the Wolff–Parkinson–White Syndrome or Paroxysmal Supraventricular Tachycardias during a Single Electrophysiologic Test
Open accessAbstract
BACKGROUND: We conducted this study to determine the feasibility of an abbreviated therapeutic approach to the Wolff-Parkinson-White syndrome or paroxysmal supraventricular tachycardia, in which the diagnosis is established and radiofrequency ablation carried out during a single electrophysiologic test. METHODS: One hundred six consecutive patients were referred for the management of documented, symptomatic paroxysmal supraventricular tachycardias (66 patients) or the Wolff-Parkinson-White syndrome (40 patients). All agreed to undergo a diagnostic electrophysiologic test and catheter ablation with radiofrequency current. No patient had had such a test previously. RESULTS: Among the 66 patients with paroxysmal supraventricular tachycardias, the mechanism was found to be atrioventricular nodal reentry in 46 (70 percent) (typical in 44 and atypical in 2), atrioventricular reciprocating tachycardia involving a concealed accessory pathway in 16 (24 percent), atrial tachycardia in 2 (3 percent), and noninducible paroxysmal supraventricular tachycardia in 2 (3 percent). A successful long-term outcome was achieved in 57 of 62 patients (92 percent) with paroxysmal supraventricular tachycardia in whom ablation was attempted and in 37 of 40 patients (93 percent) with the Wolff-Parkinson-White syndrome. The only complications were one instance of occlusion of the left circumflex coronary artery, leading to acute myocardial infarction, and one instance of complete atrioventricular block. The mean (+/- SD) duration of the electrophysiologic procedures was 114 +/- 55 minutes. CONCLUSIONS: The diagnosis and cure of paroxysmal supraventricular tachycardia or the Wolff-Parkinson-White syndrome during a single electrophysiologic test are feasible and practical and have a favorable risk-benefit ratio. This abbreviated therapeutic approach may eliminate the need for serial electropharmacologic testing, long-term drug therapy, antitachycardia pacemakers, and surgical ablation.
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Lee, M. A., Morady, F., Kadish, A., Schamp, D. J., Chin, M. C., Scheinman, M. M., Griffin, J. C., Lesh, M. D., Pederson, D., & Goldberger, J. (1991) · Circulation · doi:10.1161/01.cir.83.3.827 · Cited by 337
Self-citationHigh frequency alternating current ablation of an accessory pathway in humans
Borggrefe, M., Budde, T., Podczeck, A., & Breithardt, G. (1987) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(87)80200-0 · Cited by 285
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Cryosurgical treatment of atrioventricular node reentrant tachycardia.
Cox, J. L., Holman, W. L., & Cain, M. E. (1987) · Circulation · doi:10.1161/01.cir.76.6.1329 · Cited by 209
Scheinman, M. M., & Evans-Bell, T. (1984) · Circulation · doi:10.1161/01.cir.70.6.1024 · Cited by 202
Bardy, G. H., Ivey, T. D., Coltorti, F., Stewart, R. B., Johnson, G. W., & Greene, H. L. (1988) · The American Journal of Cardiology · doi:10.1016/0002-9149(88)90936-8 · Cited by 127
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Self-citationCatheter ablation of accessory pathways with a direct approach. Results in 35 patients.
Warin, J. F., Haı̈ssaguerre, M., Lemétayer, P., Jp, G., & Blanchot, P. (1988) · Circulation · doi:10.1161/01.cir.78.4.800 · Cited by 115
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Differential Diagnosis of Supraventricular Tachycardia
Josephson, M. E., & Wellens, H. J. J. (1990) · Cardiology Clinics · doi:10.1016/s0733-8651(18)30348-5 · Cited by 106
Cited by
Jackman, W. M., Beckman, K. J., McClelland, J. H., Wang, X., Friday, K. J., Roman, C. A., Moulton, K. P., Twidale, N., Hazlitt, H. A., Prior, M. I., et al. (1992) · New England Journal of Medicine · doi:10.1056/nejm199207303270504 · Cited by 1,160
Blomstrom-Lundqvist (2003) · doi:10.1161/01.cir.0000091380.04100.84 · Cited by 955
Calkins, H., Yong, P., Miller, J. M., Olshansky, B., Carlson, M., Saul, J. P., Huang, S. K. S., Liem, L. B., Klein, L. S., Moser, S. A., et al. (1999) · Circulation · doi:10.1161/01.cir.99.2.262 · Cited by 611
Self-citationPage, 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
Self-citationParoxysmal supraventricular tachycardia in the general population
Orejarena, L. A., Vidaillet, H., DeStefano, F., Nordstrom, D. L., Vierkant, R. A., Smith, P. N., & Hayes, J. J. (1998) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(97)00422-1 · Cited by 432
Metadata
- Authors
- Calkins, H., Sousa, J., El-Atassi, R., Rosenheck, S., de Buitleir, M., Kou, W. H., Kadish, A. H., Langberg, J. J., & Morady, F.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1991-06-06
- Volume
- 324
- Issue
- 23
- Pages
- 1612-1618
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W1964261663
- Cited by
- 698
- References
- 18
- FWCI
- 84.33
- Type
- journal article
- Language
- en
- Open access
- bronze
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- CoChat. (2026). Citation check: Diagnosis and Cure of the Wolff–Parkinson–White Syndrome or Paroxysmal Supraventricular Tachycardias during a Single Electrophysiologic Test. https://app.cochat.ai/papers/10.1056/nejm199106063242302
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- Calkins, H., Sousa, J., El-Atassi, R., Rosenheck, S., de Buitleir, M., Kou, W. H., Kadish, A. H., Langberg, J. J., & Morady, F. (1991). Diagnosis and Cure of the Wolff–Parkinson–White Syndrome or Paroxysmal Supraventricular Tachycardias during a Single Electrophysiologic Test. New England Journal of Medicine. https://doi.org/10.1056/nejm199106063242302
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
