13 | 12 | 2017

Тhe peculiarities of wolf-parkinson-white syndromein children at the present stage

M.A. Gonchar, F.S. Dzhuraboieva, N.V. Vergelis Kharkiv

The aim of our research is to study the peculiarities of Wolf-Parkinson-White syndrome in children at the present stage. Materials and methods. We have performed retrospective analyses of 71 in-patient cards of 39children with WPW on the basis of Regional children cardiac center of Kharkiv (from January 2010 to December2012). The children were divided into groups on the grounds of physical development, the age at which a diagnosiswas made, presence of attacks of paroxysmal tachycardia and the small anomalies of the heart. Examination: anthropometry, ECG, Holter ECG. Processing of results was carried out by Microsoft Office Excel 2007 and Statics6.0. Results and Conclusions. Among 39 patients there were 27 males (69%) and 12 females (31%). Average age – 10,42 Ѓ} 5,74. WPW Syndrome, paroxysmal supraventricular tachycardia was detected in 14 patients (36%), WPW phenomenon –in 25 patients (64%).The typical complaint as palpitations were noted only by 34% of patients. Syndrome/phenomenon WPW is often recorded in the age group from 12 to 17 years (33%) in combination witha small anomaly of the heart (85%), mainly abnormal notochord (72%). As for ECG signs of WPW an extension of the QRS complex was detected in 100%, shortening of the interval PQ – in 84% and Δ-wave – in 67%. The attack of paroxysmal tachycardia was detected in 14 patients (36%), more frequently in children with disharmonious development (R = + 0,99, p < 0,05).