[Wolff-Parkinson-White syndrome; important in childhood also].
In a cooperative, retrospective, study 120 children are reviewed with preexcitation pattern. 80 patients had tachycardias; 54 children were under 1 year, 49 under 3 months of age at their first attack. In 50% the preexcitation pattern disappeared in the first year of life, allthough intermittent preexcitation could be seen in some patients. In 12 patients a circusmovement tachycardia was proved on the surface ecg; in the group of 63 children with a tachycardia of unknown origin probably more may be caused by this mechanism. A beneficial effect of digoxin in childhood is noticed, with good response in 45 cases. A possible explanation for the difference in effect of digoxin during childhood and in adolescence is discussed.
D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D004077:Digoxin / Q000627:therapeutic use; D004562:Electrocardiography; D006330:Heart Defects, Congenital / Q000150:complications; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012189:Retrospective Studies; D013610:Tachycardia / Q000150:complications; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D004077:Digoxin
Het Wolff-Parkinson-White syndroom; ook in de kinderleeftijd van betekenis.