Key result
Adult and pediatric ECG localization algorithms have poor diagnostic accuracy for accessory pathways in young patients with non-Ebstein's congenital heart disease (29% and 42% accuracy, respectively).
Why the study?
Do adult and pediatric ECG algorithms accurately localize accessory pathways in children with WPW and congenital heart disease?
Case-Control (n=86)
Blinded observers
Do adult and pediatric ECG algorithms accurately localize accessory pathways in children with WPW and congenital heart disease?
Adult and pediatric ECG algorithms for localizing accessory pathways have poor diagnostic accuracy in young patients, particularly those with non-Ebstein's congenital heart disease.
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Standard ECG algorithms should not yet guide accessory pathway localization in young non-Ebstein CHD patients; leaves open need for CHD-specific pediatric tools.
Bar‐Cohen et al. (2006) conducted a case-control in Wolff-Parkinson-White syndrome (n=86). ECG algorithms for accessory pathway localization vs. Ablation-verified AP location was evaluated on Exact match for AP location and match for laterality. Adult and pediatric ECG localization algorithms have poor diagnostic accuracy for accessory pathways in young patients with non-Ebstein's congenital heart disease (29% and 42% accuracy, respectively).
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