[Estimation of localization of the accessory pathway in WPW syndrome with a standard 12 lead electrocardiogram. Development of new criteria for children].
In 128 children with WPW syndrome, localization estimation was based on the accessory pathway (ACP) localization criteria of the standard 12 lead electrocardiogram for adults proposed by Gallagher et al., Iwa et al., Lindsay et al., and Reddy et al. The rate of consistency of each set of criteria with body surface mapping (BSM) (based on the criteria of Kamakura et al.) was examined along with evaluation of reliability. Among the localization criteria, the most reliable set for children was that developed by Iwa et al. The addition of the precordial lead QRS transitional zone to the criteria established by Iwa et al. was proposed as a means of making the criteria were appropriate for children with WPW syndrome. The consistency rate of localization with this new criterion was added with the results of BSM reached 93% including interpolations. Thus this new localization criterion was considered effective for the estimation of ACP localization in children with WPW syndrome.
Katsube
Y
Y
Department of Pediatrics, Nippon Medical School Hospital, Tokyo, Japan.
Ogawa
S
S
Seki
T
T
Hirayama
T
T
D000293:Adolescent; D018780:Body Surface Potential Mapping; D002648:Child; D002675:Child, Preschool; D004562:Electrocardiography / Q000379:methods / Q000592:standards*; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D007223:Infant; D008297:Male; D014927:Wolff-Parkinson-White Syndrome / Q000175:diagnosis*