Comparative study of five preoperative methods for the localization of accessory pathways in the Wolff-Parkinson-White syndrome
(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.
(Less)
- author
- Yuan, S W LU ; Iwa, T ; Misaki, T ; Mukai, K ; Matsunaga, Y ; Bando, H ; Nakajima, K and Numa, T
- publishing date
- 1991-07
- type
- 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
-
- pmid:1880900
- 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
- 2024-01-04 16:12:57
@article{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}}, 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}}, language = {{eng}}, number = {{7}}, pages = {{91--685}}, publisher = {{Japanese Circulation Society}}, 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}}, doi = {{10.1253/jcj.55.685}}, volume = {{55}}, year = {{1991}}, }