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September 10, 2018Oxford Medical Case ReportsOpen Access

Ventricular pre-excitation using a 12-lead ECG: a challenging diagnosis

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Key result

Standard 12-lead ECG criteria may be inadequate to confirm or exclude ventricular pre-excitation, highlighting the need for vigilant clinical judgement and electrophysiological studies.

Population

Young patient presenting with recurrent episodes of supraventricular tachycardia

Design

Editorial

Authors

NKNang Hnin Nu Nu KyiUniversity Hospital Southampton NHS Foundation TrustGary TseGary TseElectrophysiologyPCPanagiota Anna ChousouCambridge University Hospitals NHS Foundation Trust

Discussion

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Implication

Standard ECG criteria may be inadequate to diagnose ventricular pre-excitation, highlighting the need for electrophysiological studies when clinical suspicion is high.

Structured PICO

P
Population
Young patient presenting with recurrent episodes of supraventricular tachycardia (case report discussed in editorial)
I
Intervention
12-lead electrocardiogram (ECG) and electrophysiological study
O
Outcome
Diagnosis of ventricular pre-excitation

Standard ECG criteria may be inadequate to diagnose ventricular pre-excitation, highlighting the need for electrophysiological studies when clinical suspicion is high.

Cite This Study

Kyi et al. (2018) conducted an editorial in Ventricular pre-excitation. 12-lead ECG was evaluated. Standard 12-lead ECG criteria may be inadequate to confirm or exclude ventricular pre-excitation, highlighting the need for vigilant clinical judgement and electrophysiological studies.

synapsesocial.com/papers/6a95c0f075656758994f09d3https://doi.org/10.1093/omcr/omy085
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  1. 1Bundle‐Branch Block with Short P‐R Interval in Healthy Young People Prone to Paroxysmal Tachycardia2006 · 141 citations
  2. 2A population study of the natural history of Wolff-Parkinson-White syndrome in Olmsted County, Minnesota, 1953-1989.1993 · 512 citations
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  4. 4Sudden Cardiac Death in the Young2016 · 169 citations
  5. 5A new approach to confirming or excluding ventricular pre-excitation on a 12-lead ECG2009 · 13 citations