Key result
Athlete status in pediatric arrhythmia patients linked to higher risk of symptomatic WPW syndrome.
Why the study?
Clinical manifestations in WPW syndrome range from recurring PSVT to SCD, and the risk of developing SCD in affected individuals is still unknown.
Observational (n=199)
No
In pediatric patients with arrhythmias, Wolff-Parkinson-White syndrome is significantly associated with being an athlete, experiencing vertigo and palpitations, and having concurrent arrhythmias like PSVT.
Answers are grounded in this paper and cite their sources.
Athletes with pediatric arrhythmias may warrant closer WPW monitoring; observational data leaves causal role and screening changes open.
Cardiac arrhythmias in children and young are presented in a broad spectrum, given the large and varied number of known arrhythmias. The incidence of pre-excitation syndromes in children ranges from 1:250 to 1:1000 [11].Our understanding of ventricular preexcitation began in 1921 when Wedd described an “intraventricular block and a PR interval of 0.08 ms.” [1] Wolff-Parkinson-White (WPW) was first described in 1930 as a bundle-Branch Block with Short P-R Interval. Moreover, the delta wave Wolff et al. described the presence of the delta wave on the EKG for the first time [2].Clinical manifestations in WPW are broad, ranging from recurring PSVT to SCD. The risk of developing the last condition in people with WPW syndrome is still unknown. However, multiple studies reveal that asymptomatic WPW has a low chance of SCD and a favorable prognosis [3-6]. Moreover, multiple studies present reasonable life expectancy in patients with WPW syndrome, even if they may present multiple episodes of PSVT [7-10].
No takes yet. Share an insight, caveat, or question.
Moraru et al. (2022) conducted an observational in Wolff-Parkinson-White syndrome and arrhythmias (n=199). In pediatric patients with arrhythmias, being an athlete was significantly associated with a higher risk of developing symptomatic Wolff-Parkinson-White syndrome (p=0.000).
Synapse has enriched 10 related papers. Consider them for comparative context: