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Comparative study of five preoperative methods for the localization of accessory pathways in the Wolff-Parkinson-White syndrome

Yuan, S W LU ; Iwa, T; Misaki, T; Mukai, K; Matsunaga, Y; Bando, H; Nakajima, K and Numa, T (1991) In Japanese Circulation Journal 55(7). p.91-685
Abstract

One hundred and thirty-four cases of Wolff-Parkinson-White syndrome were studied to evaluate the relative usefulness of electrocardiography (ECG), electrophysiological studies (EPS), body surface mapping (BSM), gated blood-pool phase analysis (nuclear studies), and vectorcardiography (VCG) in the localization of the accessory pathway (ACP). In comparison with the final localization verified by intraoperative studies, 93.4% in 8-region ACP localization (97.7% in 4-region ACP localization) could be correctly localized by ECG using our criteria, 83.9% (86.8%) by EPS, 82.6% (95.8%) by BSM, 78.8% (87.7%) by nuclear studies, and 67.3% (78.0%) by VCG. It was concluded that: (a) ACP can be localized preoperatively with considerable accuracy by... (More)

One hundred and thirty-four cases of Wolff-Parkinson-White syndrome were studied to evaluate the relative usefulness of electrocardiography (ECG), electrophysiological studies (EPS), body surface mapping (BSM), gated blood-pool phase analysis (nuclear studies), and vectorcardiography (VCG) in the localization of the accessory pathway (ACP). In comparison with the final localization verified by intraoperative studies, 93.4% in 8-region ACP localization (97.7% in 4-region ACP localization) could be correctly localized by ECG using our criteria, 83.9% (86.8%) by EPS, 82.6% (95.8%) by BSM, 78.8% (87.7%) by nuclear studies, and 67.3% (78.0%) by VCG. It was concluded that: (a) ACP can be localized preoperatively with considerable accuracy by using our simple ECG criteria. (b) The EPS method has some limitation, especially with respect to 8-region ACP localization. (c) Our observation showed no evidence that BSM, VCG, or nuclear studies were superior to ECG in ACP localization. (d) Among the 5 methods studied, ECG and EPS appear to be the appropriate procedures for preoperative ACP identification.

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author
publishing date
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Contribution to journal
publication status
published
subject
keywords
Adolescent, Adult, Aged, Child, Child, Preschool, Electrocardiography, Electrodes, Electrophysiology, Female, Gated Blood-Pool Imaging, Heart Conduction System, Humans, Infant, Male, Middle Aged, Vectorcardiography, Wolff-Parkinson-White Syndrome, Comparative Study, Journal Article
in
Japanese Circulation Journal
volume
55
issue
7
pages
91 - 685
publisher
Japanese Circulation Society
external identifiers
  • Scopus:0025744181
ISSN
0047-1828
DOI
10.1253/jcj.55.685
language
English
LU publication?
no
id
db007d25-31e7-4aef-a60b-8cc5267c9da6
date added to LUP
2016-11-10 17:29:15
date last changed
2016-11-21 09:42:13
@misc{db007d25-31e7-4aef-a60b-8cc5267c9da6,
  abstract     = {<p>One hundred and thirty-four cases of Wolff-Parkinson-White syndrome were studied to evaluate the relative usefulness of electrocardiography (ECG), electrophysiological studies (EPS), body surface mapping (BSM), gated blood-pool phase analysis (nuclear studies), and vectorcardiography (VCG) in the localization of the accessory pathway (ACP). In comparison with the final localization verified by intraoperative studies, 93.4% in 8-region ACP localization (97.7% in 4-region ACP localization) could be correctly localized by ECG using our criteria, 83.9% (86.8%) by EPS, 82.6% (95.8%) by BSM, 78.8% (87.7%) by nuclear studies, and 67.3% (78.0%) by VCG. It was concluded that: (a) ACP can be localized preoperatively with considerable accuracy by using our simple ECG criteria. (b) The EPS method has some limitation, especially with respect to 8-region ACP localization. (c) Our observation showed no evidence that BSM, VCG, or nuclear studies were superior to ECG in ACP localization. (d) Among the 5 methods studied, ECG and EPS appear to be the appropriate procedures for preoperative ACP identification.</p>},
  author       = {Yuan, S W and Iwa, T and Misaki, T and Mukai, K and Matsunaga, Y and Bando, H and Nakajima, K and Numa, T},
  issn         = {0047-1828},
  keyword      = {Adolescent,Adult,Aged,Child,Child, Preschool,Electrocardiography,Electrodes,Electrophysiology,Female,Gated Blood-Pool Imaging,Heart Conduction System,Humans,Infant,Male,Middle Aged,Vectorcardiography,Wolff-Parkinson-White Syndrome,Comparative Study,Journal Article},
  language     = {eng},
  number       = {7},
  pages        = {91--685},
  publisher    = {ARRAY(0xa293600)},
  series       = {Japanese Circulation Journal},
  title        = {Comparative study of five preoperative methods for the localization of accessory pathways in the Wolff-Parkinson-White syndrome},
  url          = {http://dx.doi.org/10.1253/jcj.55.685},
  volume       = {55},
  year         = {1991},
}