Journal of Clinical PracticeJournal of Clinical PracticeКлиническая практика2220-30952618-8627Eco-Vector831210.17816/clinpract5460-72ArticlesСтатьиReview ArticleSUDDEN CARDIAC DEATH AND WOLFF-PARKINSON-WHITE ELECTROCARDIOGRAPHIC PATTERN: A REVIEWВНЕЗАПНАЯ СЕРДЕЧНАЯ СМЕРТЬ И СИНДРОМ ВОЛЬФА-ПАРКИНСОНА-УАЙТАMamchurS EМамчурСергей Евгеньевич

зав. лаборатории нарушений ритма сердца и ЭКС НИИ комплексных проблем сердечно-сосудистых заболеваний Сибирского отделения РАМН, г. Кемерово

ArdashevA VАрдашевАндрей Вячеславович

заведующий отделением рентгенхирургических методов диагностики и лечения сложных нарушений ритма сердца ФГБУ ФНКЦ ФМБА России, д.м.н., профессор

ardashev@yahoo.comлаборатория нарушений ритма сердца и ЭКС НИИ комплексных проблем сердечно-сосудистых заболеваний Сибирское отделение РАМНФГБУ ФНКЦ ФМБА России1512201454NO4 (2014)№4 (2014)607216032018Copyright ©; 2014, Mamchur S.E., Ardashev A.V.Copyright ©; 2014, Мамчур С.Е., Ардашев А.В.2014Mamchur S.E., Ardashev A.V.Мамчур С.Е., Ардашев А.В.https://creativecommons.org/licenses/by-nc-nd/4.0https://clinpractice.ru/clinpractice/article/view/8312

The causes of sudden cardiac death in patients with Wolff-Parkinson-White syndrome are considered; necessity of endocardial electrophysiological study and radiofrequency catheter ablation is discussed, including asymptomatic patients with accessory pathways.

Рассматриваются причины внезапной сердечной смерти у больных с синдромом Вольфа-Паркинсона-Уайта, обсуждается целесообразность проведения эндокардиального электро-физиологического исследования и радиочастотной катетерной аблации, в том числе, у асимптомных пациентов с наличием дополнительных путей проведения.

sudden cardiac deathWolff-Parkinson-White syndromeradiofrequency catheter ablationвнезапная сердечная смертьсиндром Вольфа-Паркинсона-Уайтарадиочастотная катетерная аблацияКручина Т.К., Васичкина Е.С., Егоров Д.Ф., Татарский Б.А. Феномен Вольфа-Паркинсона-Уайта у детей: результаты 17-летнего клинического наблюдения. Кардиология 2012;5:30-36.Кручина Т.К., Егоров Д.Ф., Татарский Б.А. Феномен и синдром Вольфа-Паркинсона-Уайта у детей: клинико-электрофизиологические различия // Вестник аритмологии. 2011. №66. С. 13-18.Averill KH, Lamb LE. Electrocardiographic findings in 67,375 asymptomatic subjects. I. Incidence of abnormalities. Am J Cardiol. 1960;6:76-83.Basso C, Corrado D, Rossi L, Thiene G. Trigger of Sudden Death Ventricular Preexcitation in Children and Young Adults: Atrial Myocarditis. Circulation. 2001;103:269-75. doi: 10.1161/01.CIR.103.2.269Blomstrom-Lundqvist C, Scheinman MM, Aliot EM et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias - executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias). Circulation.2003;108:1871-1909.Brembilla-Perrot B, MarHon O, Chometon F et al. Supraventricular tachyarrhythmia as a cause of sudden cardiac arrest. J Interv Card Electrophysiol. 2006 Aug;16(2):97-104.Cain N, Irving C, Webber S et al. Natural history of Wolff-Parkinson-White syndrome diagnosed in childhood. Am J Cardiol. 2013 Oct 1;112(7):961-5.doi: 10.1016/j.amjcard.2013.05.035.Chevalier P, Cadi F, Scridon A, et al. Prophylactic radiofrequency ablation in asymptomatic patients with Wolff-Parkinson-White is not yet a good strategy: a decision analysis. Circ Arrhythm Electrophysiol. 2013 Feb;6(1):185-90. doi: 10.1161/CIRCEP.112.970459.Corrado D, Basso C, Thiene G. Sudden cardiac death in young people with apparently normal heart. Cardiovasc Res. 2001;50:399-408.Fananapazir L, Packer DL, German LD et al. Procainamide infusion tests: inability to identify patients with Wolff Parkinson White syndrome who are potentially at risk of sudden death. Circulation. 1988;77:1291-96.Fazlo G, Mossuto C, Basile I et al. Asymptomatic ventricular preexitation in children. J Cardiovasc Med 2009;10:59-63.Fitzsimmons PJ, McWhirter PD, Peterson DW, Kruyer WB. The natural history of Wolff-Parkinson-White syndrome in 228 military aviators: a long-term follow-up of 22 years. Am Heart Journal 2001;142(3): 530-6. doi:10.1067/mhj.2001.117779.Gaita F, Giustetto C, Riccardi R et al. Stress and pharmacologic tests as methods to identify patients with Wolff-Parkinson-White syndrome at risk of sud" den death. Am J Cardiol. 1989 Sep 1;64(8):487-90.Gallagher JJ, Pritchett ELC, Sealy WC, et al. Pre-excitation syndromes. Prog Cardiovasc Dis. 1978;20:285-327.Klein GJ, Gula LJ, Krahn AD et al. WPW Pattern in the Asymptomatic Individual: Has Anything Changed? Circ Arrhythm Electrophysiol. 2009;2:97-99. doi: 10.1161/CIRCEP.109.859827Goudevenos JA, Katsouras CS, Graekas G et al. Ventricular pre-excitation in the general population: a study on the mode of presentation and clinical course. Heart 2000;83:29-34.Guize L, Soria R, Chaouat JC, et al. Prevalence and course of Wolff-Parkinson-White syndrome in population of 138,048 subjects. Ann Med Interne (Paris) 1985;136:474-89.Haissaguerre M, Fischer B, Labbe T et al. Frequency of recurrent atrial fibrillation after catheter ablation of overt accessory pathway. Am J Cardiol 1992;69:493-7.Hogenhuis W, Stevens SK, Wang P et al. Cost-effectiveness of radiofrequency ablation compared with other strategies in Wolff-Parkinson-White syndrome. Circulation. 1993;88:437.Hsieh MH, Tai CT, Chiang CE et al. Double atrial potentials recorded in the coronary sinus in patients with Wolff-Parkinson-White syndrome: a possible mechanism of induced atrial fibrillation. J Interv Card Electrophysiol 2004;11:97-103.Inoue K, Igarashi H, Fukushige J et al. Long-term prospective study on the natural history of Wolff-Parkinson-White syndrome detected during a heart screening program at school. Acta Paediatr 2000; 89:542-5.Kalarus Z, Kowalski O, Lenarczyk R et al. Electrophysiological features of orthodromic atrioventricular reentry tachycardia in patients with Wolff-Parkinson-White syndrome and atrial fibrillation. Pacing Clin Electrophysiol 2003;26:1479-88.Klein GJ, Bashore TM, Sellers TD et al. Ventricular fibrillation in the Wolff-Parkinson-White syndrome. N Engl J Med 1979;301:1080-85.Klein GJ, Gula LJ, Krahn AD et al. WPW Pattern in the Asymptomatic Individual Has Anything Changed? Circ Arrhythm Electrophysiol. 2009;2:97-99. doi: 10.1161/CIRCEP.109.859827Klein GJ, Prystowsky EN, Yee R et al. Asymptomatic Wolff-Parkinson-White. Should we intervene? Circulation. 1989;80:1902-5.Klein GJ, Yee R, Sharma AD. Longitudinal electrophysiologic assessment of asymptomatic patients with the Wolff-Parkinson-White electrocardiographic pattern. N Engl J Med. 1989;320:1229-33.Konoe A, Fukatani M, Tanigawa M et al. Electrophysiological abnormalities of the atrial muscle in patients with manifest Wolff-Parkinson-White syndrome associated with paroxysmal atrial fibrillation. Pacing Clin Electrophysiol 1992;15:1040-52.Leitch JW, Klein GJ, Yee R, Murdock C. Prognostic value of electrophysiology testing in asymptomatic patients with Wolff-Parkinson-White pattern. Circulation. 1990;82:1718-23 doi: 10.1161/01.CIR.82.5.1718Levy S, Broustet JP, Clementy J. Syndrome de Wolff-Parkinson-White: correlation entre l'exploration electrophysiologique et l'effet de l'epreuve d'effort sur l'aspect electrocardiographique de pre-excitation. Arch Mal Coeur. 1979;72:634-43.Maixent JM, Paganelli F, Scaglione J, et al. Antibodies against myosin in sera of patients with idiopathic paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol. 1998;9:612-17.Obeyesekere MN, Leong-Sit P, Massel D et al. Risk of Arrhythmia and Sudden Death in Patients With Asymptomatic Preexcitation: A Meta-Analysis. Circulation. 2012;125:2308-15. doi: 10.1161/CIRCULATION AHA.111.055350Mantakas ME, McCue CM, Miller WW. Natural history of Wolff-Parkinson-White syndrome discovered in infancy. Am J Cardiol 1978;41:1097-1103.Maron BJ, Shirani J, Poliac LC et al. Sudden death in young competitive athletes. Clinical, demographic, and pathological profiles. JAMA. 1996;276:199-204.Medeiros A, Iturralde P, Guevara M et al. Sudden death in intermittent Wolff Parkinson White syndrome. Arch Cardiol Mex. 2001 Jan-Mar;71(1):59-65.Moltedo JM, Iyer RV, Forman H et al. Is Exercise Stress Testing a Cost-Saving Strategy For Risk Assessment of Pediatric Wolff-Parkinson-White Syndrome Patients? The Ochsner Journal 2006;6(2): 64-7.Montoya PT, Brugada P, Smeets J, et al. Ventricular fibrillation in the Wolff-Parkinson-White syndrom. Eur Heart J. 1991 Feb;12(2):144-50.Mujović N, Grujić M, Mrda S et al. The role of the accessory pathway radiofrequency catheter ablation in the secondary prevention of the malignant tachyarrhythmias in patients with Wolff-Parkinson-White syndrome. Vojnosanit Pregl. 2010 Jan;67(1):48-54.Munger TM, Packer DL, Hammill SC et al. A population study of the natural history of Wolff-Parkinson-White syndrome in Olmsted County, Minnesota, 1953-1989. Circulation.1993;87:866-73. doi: 10.1161/01.CIR.87.3.866Ohnell RF. Pre-excitation, cardiac abnormality, pathophysiological, patho-anatomical and clinical studies of excitatory spread phenomenon bearing upon the problem of the WPW (Wolff, Parkinson, and White) electrocardiogram and paroxysmal tachycardia. Acta Med Scand 1944; 152:1-167.Pappone C, Manguso F, Santinelli R et al. Radiofrequency ablation in children with asymptomatic Wolff-Parkinson-White syndrome. N Engl J Med 2004;351:1197-205.Pappone C, Radinovic A, Santinelli V. Sudden death and ventricular pre-excitation: is it necessary to treat the asymptomatic patients? Curr Pharm Des. 2008;14(8):762-5.Pappone C, Santinelli V, Manguso F et al. A randomized study of prophylactic catheter ablation in asymptomatic patients with the Wolff-Parkinson-White syndrome. N Engl J Med 2003;349(19):1803-11. doi:10.1056/NEJMoa035345.Pappone C, Santinelli V, Rosanio S et al. Usefulness of invasive electrophysiologic testing to stratify the risk of arrhythmic events in asymptomatic patients with Wolff-Parkinson-White pattern: results from a large prospective long-term follow-up study. J Am Coll Cardiol. 2003;41:239-44.Peinado R, Merino JL, Gnatto M, Arias MA. Atrial fibrillation triggered by postinfarction ventricular premature beats in a patient with Wolff-Parkinson-White syndrome. Europace 2005;7:221-4.Rosner MH, Brady WJ Jr, Kefer MP, Martin ML. Electrocardiography in the patient with the Wolff-Parkinson-White syndrome: diagnostic and initial therapeutic issues. Am J Emerg Med. 1999 Nov;17(7):705-14. doi:10.1016/S0735-6757(99) 90167-5.Sano S, Komori S, Amano T et al. Prevalence of ventricular pre-exitation in Japanese schoolchildren. Heart 1998;79:374-8.Scheinman MМ, Huang S. The 1998 NASPE Prospective Catheter Ablation Registry. Pacing Clin Electrophysiol. 2000;23(6):1020-28. DOI: 10.1111/j. 1540-8159.2000.tb00891.xSharma AD, Klein GJ, Guiraudon GM, Milstein S. Atrial fibrillation in patients with Wolff-Parkinson-White syndrome: incidence after surgical ablation of the accessory pathway. Circulation 1985;1:161-9.Shen WK, Edwards WD, Hammill SC et al. Sudden unexpected nontraumatic death in 54 young adults: a 30-year population-based study. Am J Cardiol. 1995;76:148-152.Silva G, de Morais GP, Primo J et al. Aborted sudden cardiac death as first presentation of Wolff-Parkinson-White syndrome. Rev Port Cardiol. 2013;32(4):325-29Sorbo MD, Buja GF, Miorelli M et al. The prevalence of the Wolff-Parkinson-White syndrome in a population of 116,542 young males. Giornale Italiano di Cardiologia 1995;25(6):681-7.Soylu M, Demir AD, Ozdemir O et al. Increased P wave dispersion after the radiofrequency catheter ablation in overt pre-excitation patients: the role of atrial vulnerability. Int J Cardiol 2004;95:167-70.Steinbeck G. Should radiofrequency current ablation be performed in asymptomatic patients with the Wolff-Parkinson-White syndrome? Pacing Clin Electrophysiol. 1993 Mar;16(3 Pt 2):649-52.Teo WS, Klein GJ, Guiraudon GM, et al. Multiple accessory pathways in the Wolff-Parkinson-White syndrome as a risk factor for ventricular fibrillation. Am J Cardiol. 1991;67:889-91.Teo WS, Klein GJ, Yee R. Sudden cardiac death in the Wolff-Parkinson-White syndrome. Singapore Med J. 1992 Jun;33(3):247-51.Timmermans C, Smeets J, Rodriguez LM, et al. Aborted sudden death in the Wolff-Parkinson-White syndrome. Am J Cardiol 1995;76:492-4Tischenko A, Fox DJ, Yee R et al. When should we recommend catheter ablation for patients with the Wolff-Parkinson-White syndrome? Curr Opin Cardiol. 2008 Jan;23(1):32-7. doi: 10.1097/ HCO. 0b013e3282f26d1b.Wellens HJ, Rodriguez LM, Timmermans C, Smeets JP. The asymptomatic patient with the Wolff-Parkinson-White electrocardiogram. Pacing Clin Electrophysiol. 1997 Aug;20(8 Pt 2):2082-6.Wellens HJ. When to Perform Catheter Ablation in Asymptomatic Patients With a Wolff-Parkinson-White Electrocardiogram. Circulation. 2005;112:2201-16. doi: 10.1161/CIRCULATIONAHA.104.483321Wellens HJ, Brugada P, Roy D et al. Effect of isoproterenol on the anterograde refractory period of the accessory pathway in patients with the WPW syndrome. Am J Cardiol. 1981;50:180-84.Wellens HJ, Fare J, Bar FW. The Wolff-Parkinson-White syndrome. In: Mandel WJ, ed. Cardiac arrhythmias. Their mechanisms, diagnosis and management. Philadelphia: JP Lippincott, 1987:274-96.Wellens HJ. Wolff-Parkinson-White syndrome, part I. Mod Conc Cardiovasc Dis. 1983;52:53-56.Wood F.C., Wolferth C.C., Geckeler G.D. Histologic demonstration of accessory muscular connections between auricle and ventricle in case of short P-R interval and prolonged QRS complex. Am. Heart J. 1943. Vol. 25. 454-62.Zhang Y, Wang L. Atrial vulnerability is a major mechanism of paroxysmal atrial fibrillation in patients with Wolff-Parkinson-White syndrome. Med Hypotheses 2006;67:1345-7.