Role of electrocardiogram as a diagnostic tool in Wolff-Parkinson-White syndrome - Digital Medical Library

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Title: Role of electrocardiogram as a diagnostic tool in Wolff-Parkinson-White syndrome

Author:

Moskal, Paweł Jerzy

Date:

Type:

Praca doktorska

Abstract:

Accessory atrioventricular anomalous conduction is responsible for pre-excitation in electrocardiogram (ECG) — a typical feature of Wolff–Parkinson–White syndrome (WPW). The PhD thesis aimed to analyze the role of the electrocardiogram as a diagnostic tool in WPW. The study was designed as a retrospective analysis of accessory pathway ablation procedures. The study confirmed that SPRRI and arrhythmia inducibility can be helpful to identify patients with a high risk of malignant arrhythmias; however, its predictive value does not seem satisfactory. Lower threshold for prophylactic ablation should be used to prevent WPW-related adverse events. It was shown that the greater pre-excitation in ECG improves the accuracy of the traditional AP localizing algorithms. Pambrun algorithm designed to use with maximally preexcited ECG had the best overall accuracy. Preferably maximally pre-excited ECGs should be used in clinical practice to facilitate the ablation procedure. In addition, the study suggests that there are sufficient electrocardiographic differences between VT and preexcited SVT to allow electrocardiographic differentiation. VT score, Steurer algorithm, and some single criteria do not overdiagnose VT in patients with preexcitation.

Place of publishing:

Level of degree:

2 - studia doktoranckie

Degree discipline:

choroby układu krążenia

Degree grantor:

Rada Dyscypliny Nauki medyczne

Promoter:

Czarnecka, Danuta

Date issued:

Identifier:

oai:dl.cm-uj.krakow.pl:4434

Call number:

Language:

Access rights:

Subject and keywords:

electrocardiogram WPW algorithms pre-excitation accessory pathway

Object collections:

Digital Medical Library > PhD thesis database

Last modified:

Apr 8, 2024

In our library since:

Jan 20, 2022

Number of object content hits:

61

Number of object content views in PDF format

2

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/4435

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Edition name	Date
ZB-132586	Apr 8, 2024

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