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Asymptomatic latent Wolff–Parkinson–White syndrome detected during school heart screening: a case Report

Published online by Cambridge University Press:  14 March 2022

Hisaaki Aoki*
Affiliation:
Department of Pediatric Cardiology, Osaka Women’s and Children’s Hospital, Izumi, Osaka, Japan Department of Pediatrics, Faculty of Medicine, Kindai University, Osaka-Sayama, Osaka, Japan
Yoshihide Nakamura
Affiliation:
Department of Pediatrics, Faculty of Medicine, Kindai University, Osaka-Sayama, Osaka, Japan
*
Author for correspondence: Hisaaki Aoki, MD PhD, Department of Pediatric Cardiology, Osaka Women’s and Children’s Hospital, 840 Murodo-cho, Izumi, Osaka594-1101, Japan. Tel: +81-725-56-1220; Fax: +81-725-56-5682. E-mail: aokihisaaki-osk@umin.acjp

Abstract

In latent Wolff–Parkinson–White syndrome, ventricular pre-excitation is inapparent during sinus rhythm but carries the same possibility of sudden cardiac death and palpitations as overt Wolff–Parkinson–White syndrome. It is difficult to diagnose latent Wolff–Parkinson–White syndrome when a patient does not have syncope or palpitations. We report the case of an asymptomatic patient with latent Wolff–Parkinson–White syndrome detected on school heart screening using subtle electrocardiography findings.

Type
Brief Report
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

Rodday, AM, Triedman, JK, Alexander, ME, et al. Electrocardiogram screening for disorders that cause sudden cardiac death in asymptomatic children: a meta-analysis. Pediatrics 2012; 129: e999e1010.CrossRefGoogle ScholarPubMed
Mitani, Y, Ohta, K, Yodoya, N, et al. Public access defibrillation improved the outcome after out-of-hospital cardiac arrest in school-age children: a nationwide, population-based, Utstein registry study in Japan. Europace 2013; 15: 12591266.CrossRefGoogle ScholarPubMed
Sumitomo, N, Baba, R, Doi, S, et al. Guidelines for heart disease screening in schools (JCS 2016/JSPCCS 2016) – digest version. Circ J 2018; 82: 23852444.CrossRefGoogle Scholar
Arnar, DO, Mairesse, GH, Boriani, G, et al. Management of asymptomatic arrhythmias: a European Heart Rhythm Association (EHRA) consensus document, endorsed by the Heart Failure Association (HFA), Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), Cardiac Arrhythmia Society of Southern Africa (CASSA), and Latin America Heart Rhythm Society (LAHRS). Europace 2019.CrossRefGoogle Scholar
Cohen, MI, Triedman, JK, Cannon, BC, et al. PACES/HRS expert consensus statement on the management of the asymptomatic young patient with a Wolff-Parkinson-White (WPW, ventricular preexcitation) electrocardiographic pattern: developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). Endorsed by the governing bodies of PACES, HRS, the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), the American Academy of Pediatrics (AAP), and the Canadian Heart Rhythm Society (CHRS). Heart Rhythm 2012; 9: 10061024.CrossRefGoogle Scholar
Etheridge, SP, Escudero, CA, Blaufox, AD, et al. Life-threatening event risk in children with Wolff-Parkinson-White Syndrome: a multicenter international study. JACC Clin Electrophysiol 2018; 4: 433444.CrossRefGoogle ScholarPubMed
Robinson, K, Rowland, E, Krikler, DM. Latent pre-excitation: exposure of anterograde accessory pathway conduction during atrial fibrillation. Br Heart J 1988; 59: 5355.CrossRefGoogle ScholarPubMed
Greenland, P, Kauffman, R, Weir, EK. Profound exercise-induce ST segment depression in a patient with Wolff-Parkinson-White syndrome and normal coronary arteriograms. Thorax 1980; 35: 559560.CrossRefGoogle Scholar
Sharma, S, Drezner, JA, Baggish, A, et al. International Recommendations for Electrocardiographic Interpretation in Athletes. J Am Coll Cardiol 2017; 69: 10571075.CrossRefGoogle ScholarPubMed
Goldberger, AL. ECG simulators of myocardial infarction. Part I: pathophysiology and differential diagnosis of pseudo-infarct Q wave patterns. Pacing Clin Electrophysiol 1982; 5: 106119.CrossRefGoogle ScholarPubMed
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