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dc.contributor.authorLi, Hsing-Yuanen_US
dc.contributor.authorChang, Shih-Linen_US
dc.contributor.authorChuang, Chi-Hsien_US
dc.contributor.authorLin, Ming-Chihen_US
dc.contributor.authorLin, Yenn-Jiangen_US
dc.contributor.authorLo, Li-Weien_US
dc.contributor.authorHu, Yu-Fengen_US
dc.contributor.authorChung, Fa-Poen_US
dc.contributor.authorChang, Yao-Tingen_US
dc.contributor.authorChung, Chieh-Maoen_US
dc.contributor.authorChen, Shih-Annen_US
dc.contributor.authorLee, Pi-Changen_US
dc.date.accessioned2019-12-13T01:10:00Z-
dc.date.available2019-12-13T01:10:00Z-
dc.date.issued2019-09-01en_US
dc.identifier.issn1011-6842en_US
dc.identifier.urihttp://dx.doi.org/10.6515/AC5.201909_35(5).20190312Aen_US
dc.identifier.urihttp://hdl.handle.net/11536/153072-
dc.description.abstractBackground: The location of the accessory pathway (AP) can be precisely identified on surface electrocardiography (ECG) in adults with Wolff-Parkinson-White (WPW) syndrome. However, current algorithms to locate the AP in pediatric patients with WPW syndrome are limited. Objective: To propose an optimal algorithm that localizes the AP in pediatric patients with WPW syndrome. Methods: From 1992 to 2016, 180 consecutive patients aged below 18 years with symptomatic WPW syndrome were included. After the exclusion of patients with non-descriptive electrocardiography (ECG), multiple APs, congenital heart diseases, non-inducible tachycardia, and those who received a second ablation, 104 patients were analyzed retrospectively. Surface ECG was obtained before ablation and evaluated by using previously documented algorithms, from which a new pediatric algorithm was developed. Results: Previous algorithms were not highly accurate when used in pediatric patients with WPW syndrome. In the new algorithm, the R/S ratio of V1 and the polarity of the delta wave in lead I could distinguish right from the left side AP with 100% accuracy. The polarity of the delta wave of lead V1 could distinguish free wall AP from septal AP with an accuracy of 100% in left-side AP, compared to 88.6% in leads III and V1 for right-side AP. The overall accuracy was 92.3%. Conclusions: This simple, novel algorithm could differentiate left from right AP and septal from free wall AP in pediatric patients with WPW syndrome.en_US
dc.language.isoen_USen_US
dc.subjectAccessory pathwayen_US
dc.subjectAlgorithmen_US
dc.subjectChildrenen_US
dc.subjectLocalizationen_US
dc.subjectWPW syndromeen_US
dc.titleA Novel and Simple Algorithm Using Surface Electrocardiogram That Localizes Accessory Conduction Pathway in Wolff-Parkinson-White Syndrome in Pediatric Patientsen_US
dc.typeArticleen_US
dc.identifier.doi10.6515/AC5.201909_35(5).20190312Aen_US
dc.identifier.journalACTA CARDIOLOGICA SINICAen_US
dc.citation.volume35en_US
dc.citation.issue5en_US
dc.citation.spage493en_US
dc.citation.epage500en_US
dc.contributor.department生物科技學系zh_TW
dc.contributor.departmentDepartment of Biological Science and Technologyen_US
dc.identifier.wosnumberWOS:000487859100006en_US
dc.citation.woscount0en_US
Appears in Collections:Articles