This case highlights the potential for life-threatening arrhythmias in infants with WPW syndrome and suggests a need to reassess indications for invasive electrophysiologic testing in young children.
May signal need to reassess testing thresholds in infants with WPW; hypothesis-generating and requires prospective validation.
A 6 month old infant with known Wolff-Parkinson-White syndrome presented with an out of hospital cardiac arrest. An electrocardiogram in the emergency department demonstrated atrial fibrillation with rapid ventricular response. The child subsequently was resuscitated and underwent successful interruption of an accessory connection after failing medical therapy. This case underlines the need to reassess the indications for invasive electrophysiologic testing in young children.
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Rosenberg et al. (1991) studied this question.
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