Wolff-Parkinson-White Sendromu Tanısı Alan Çocuk Hastaların Klinik Özellikleri

Objective: Wolff-Parkinson-White patern is the most common form of ventricular preexcitation. The aim of this study was to investigate the clinical features of pediatric patients with Wolff-Parkinson-White patern or syndrome and to investigate the results of the follow up. Material and Methods: The echocardiography database and Holter archive were sorted and a total of 73 children were found to be diagnosed as having Wolff-Parkinson-White Syndrome between January 2000 and December 2017. The medical recordings of these patients were evaluated retrospectively. The demograghic and clinical features and follow–up results were recorded. Results: A total of 73 patients were diagnosed with Wolff-Parkinson White Syndrome in the determined period. Nine patients were newborns. 15 patients (20%) were admitted to our clinic at least once before diagnosis of Wolff-Parkinson-White syndrome but were missed. 17 patients had conjenital heart disesis,a. 23 patients were completely asymptomatic, 9 patients were diagnosed due to nonspecific symptoms, and the remaining 41 patients were symptomatic patients. 18 of the symptomatic patients referred to our clinic with the recorded supraventricular tachycardia. In 23 patients, transesophageal electrophysiological study was performed for risk assessment. 28 patients underwent catheter ablation during the mean follow-up period of 45.1 ± 43 months. Conclusion: Although children with Wolff-Parkinson-White Syndrome can be admitted during supraventricular tachycardia, they are mostly diagnosed in symptomatic patients and few are caught incidentally in asymptomatic patients transesophageal electrophysiological study is an effective method in risk assessment. When needed, ablation provides definitive treatment.