- 18-year-old female attends a routine occupational medical in order to join the British Army.
- She represents her school and region in cross-country running and hockey.
- Asymptomatic with no family history of cardiovascular disease or sudden death.
- Clinical examination normal.
- A routine ECG is performed as part of her assessment.
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Note: The views and opinions expressed on this page are those of the author and may not be accepted by others. While every attempt is made to keep the information up to date, there is always going to be a lag in updating information. The reader is encouraged to read this in conjunction with appropriate ESC Guidelines. The material on this page is for educational purposes and is not for use as a definitive management strategy in the care of patients. Quiz material in the site are only examples and do not guarantee outcomes from formal examinations.
- [*1] Frequency of recurrent atrial fibrillation after catheter ablation of overt accessory pathways.
Haissaguerre M, Fischer B, Labbé T et al. Am J Cardiol. 1992;69:493-7.
- [*2] The predictive value of electrophysiologic studies in untreated patients with Wolff-Parkinson-White syndrome.
Beckman KJ1, Gallastegui JL, Bauman JL, Hariman RJ. J Am Coll Cardiol. 1990;15:640-7.
- [*3] Ventricular fibrillation in Wolff-Parkinson-White syndrome. Predictive factors.
Attoyan C1, Haissaguerre M, Dartigues JF, Le Métayer P, Warin JF, Clémenty J. Arch Mal Coeur Vaiss. 1994;87:889-97.
- [*4] The Wolff-Parkinson-White pattern in health aircrew.
Davidoff R, Schamroth CL, Myburgh DP. Aviat Space Environ Med. 1981;52:554-8.
- [*5] A population study of the natural history of Wolff-Parkinson-White syndrome in Olmsted County, Minnesota, 1953-1989. Munger TM1, Packer DL, Hammill SC, et al. Circulation. 1993;87:866-73.
- [*6] A randomized study of prophylactic catheter ablation in asymptomatic patients with the Wolff-Parkinson-White syndrome. Pappone C1, Santinelli V, Manguso F, et al. N Engl J Med. 2003;349:1803-11.
- [*7] ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias). Blomström-Lundqvist C, Scheinman MM, Aliot EM, et al. 2003.
- [*8] Recommendations for competitive sports participation in athletes with cardiovascular disease: a consensus document from the Study Group of Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology.
Pelliccia A, Fagard R, Bjørnstad HH, et al. R Eur Heart J. 2005 Jul;26(14):1422-45.
- [*9] Syndrome de Wolff-Parkinson-White: correlation entre l’exploration electrophysiologique et l’effet de l’epreuve d’effort sur l’aspect electrocardiographique de pre-excitation. Levy S, Broustet JP, Clementy J. Arch Mal Coeur 1979;72:634–643.
- [*10] Use of procainamide in patients with the Wolff-Parkinson-White syndrome to disclose a short refractory period of the accessory pathway. Wellens HJ, Braat S, Brugada P, et al. Am J Cardiol. 1982;50:1087-9.
- [*11] An accurate stepwise electrocardiographic algorithm for localization of accessory pathways in patients with Wolf-Parkinson-White syndrome from a comprehensive analysis of Delta waves and R/S ratio during sinus rhythm.
Chiang CE, Chen SA, Teo WS, et al. Am J Cardiol. 1995;76:40–46.
- [*12] New algorithm for localization of accessory atrioventricular connections using a base-line electrocardiogram.
Fitzpatrick AP, Gonzales RP, Lesh MD, et al. J Am Coll Cardiol. 1994;23:107–116.
- [*13] Localization of accessory pathways from the 12-lead electrocardiogram using a new algorithm.
Xie B, Heald SC, Bashir Y, et al. Am J Cardiol. 1994;74:161–165.
- [*14] Multiple accessory pathways in patients with the pre-excitation syndrome.
Gallagher JJ, Sealy WC, Kasell J, et al. Circulation. 1976;54:571-591.
- [*15] Frequency, diagnosis, and clinical characteristics of patients with multiple accessory atrioventricular pathways.
Colavita PG, Packer DL, Pressley JC, et al. Am J Cardiol. 1987;59:601-606.
Notes to editor
Dr Andrew Cox, Cardiology Research Fellow
Dr Michael Papadakis, Lecturer in Cardiology, St George’s University of London
Prof Sanjay Sharma, Professor of Clinical Cardiology, St George’s University of London