Yenidoğan Döneminde Farklı Klinik Sunumlarla Başvuran İki Wolf-Parkinson-White Sendromu Vakası

Öz

Wolff-Parkinson-White WPW sendromu, kısa P-R send- romu olarak da bilinen, elektriksel iletinin aynı anda atri- yoventriküler düğüm ve aksesuar yollar üzerinden taşın- masına bağlı ortaya çıkan bir ventriküler pre-eksitasyon sendromudur. Burada yenidoğan döneminde farklı klinik sunumlar ile başvuran ve WPW sendromu tanısı konulan iki yenidoğan vakası konunun önemine dikkat çekmek ama- cıyla sunuldu

Anahtar Kelimeler

• Wolff-Parkinson-White sendromu,elektrokardiyografi,adenozin,adrenerjik beta-antagonistler,elektrik şok,yenidoğan bebek

Report of Two Cases of Neonates with Wolff-ParkinsonWhite Syndrome Presented with Different Clinical Manifestations

Öz

Wolff-Parkinson-White WPW syndrome, also kullanıla- nown as short P-R syndrome, is a ventricular pre-excitation syndrome that resulted from simultaneous conduction of electrical activity via atrioventricular node and accessory pathways. Herein, we report two cases with diagnoses of neonatal WPW syndrome presenting with diverse manifes- tations in order to emphasize the importance of the mat- ter

Anahtar Kelimeler

• Wolff-Parkinson-White syndrome,electrocardiography,adenosine,adrenergic beta-antagonists,electric countershock,infant,newborn

Kaynakça

1. 1. Southall DP, Orrell MJ, Talbot JF, Brinton RJ, Vulliamy DG, Johnson AM, et al. Study of cardiac arrhythmias and other forms of conduction abnormality in newborn infants. Br Med J 1977;2:597-9. http://dx.doi.org/10.1136/bmj.2.6087.597 PMid:901994 PMCid:1631529
2. 2. Gamella TL, Cunningham MD, Eyal FG. Neonatology management, procedures, on-call problems, disease and drugs. East Norwalk: Prentice-Hall International Inc, 1994.
3. 3. Van Hare GF. Neonatal arrhythmias. In: Fanaroff AA, Martin RJ, eds. Neonatal-perinatal medicine diseases of the fetus and infant. St. Louis: Mosby, 2002:1150-63.
4. 4. Allan LD. Fetal arrhytmias. In: Long WA, ed. Fetal and neonatal cardiology. Philadelphia: WB Saunders, 1990:180-96.
5. 5. Wolff L, Parkinson J, White PD. Bundle-branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia. 1930. Ann Noninvasive Electrocardiol 2006;11:340-53. http://dx.doi.org/10.1111/j.1542-474X.2006.00127.x PMid:17040283
6. 6. Ehtisham J, Watkins H. Is Wolff-Parkinson-White syndrome a genetic disease? J Cardiovasc Electrophysiol 2005;16:1258-62. http://dx.doi.org/10.1111/j.1540-8167.2005.50139.x PMid:16302915
7. 7. Vaughan CJ, Hom Y, Okin DA, McDermott DA, Lerman BB, Basson CT. Molecular genetic analysis of PRKAG2 in sporadic Wolff-Parkinson-White syndrome. J Cardiovasc Electrophysiol 2003;14:263-8. http://dx.doi.org/10.1046/j.1540-8167.2003.02394.x PMid:12716108
8. 8. Keating L, Morris FP, Brady WJ, Keating L, Morris FP, Brady WJ. Electrocardiographic features of Wolff-ParkinsonWhite syndrome. Emerg Med J 2003;20:491-3. http://dx.doi.org/10.1136/emj.20.5.491 PMid:12954704 PMCid:1726185

9. 9. Lee PC, Hwang B, Chen YJ, Tai CT, Chen SA, Chiang CE. The different electrophysiological characteristics in children with Wolff-Parkinson-White syndrome between those with and without atrial fibrillation. Pacing Clin Electrophysiol 2006;29:490-5. http://dx.doi.org/10.1111/j.1540-8159.2006.00381.x PMid:16689844
10. 10. Sarubbi B. The Wolff-Parkinson-White electrocardiogram pattern in athletes: how and when to evaluate the risk for dangerous arrhythmias. The opinion of the paediatric logist. J Cardiovasc Med (Hagerstown) 2006;7:271-8. http://dx.doi.org/10.2459/01.JCM.0000219320.97256.4d PMid:16645401
11. 11. Scharmroth L. The disorders of cardiac rhythm. London: Blackwell Scientific Publications, 1975.
12. 12. Park MK, Guntheroth WG. How to read pediatric ECGs. 3rd ed. St. Louis: Mosby-Year Book, 1992.
13. 13. Fyler DC. Cardiac arrhythmias. In: Walsh PE, Saul JP, eds. Nadas’ pediatric cardiology. Philadelphia: Hanley & Belfus, 1982:377-430.
14. 14. Bolat F, Uslu S, Cömert S, Dindar A, Bülbül A, Nuhoğlu A. Yenidoğanda supraventriküler taşikardi vakası: Güncel tedavi yaklaşımı. Çocuk Dergisi 2010;10:51-4.
15. 15. Paç A, Çeliker A, Bilgiç A. Yenidoğanda kardiyoversiyon ile tedavi edilen atriyal flatter vakası. T Klin Kardiyoloji 1993;6:169-71.
16. 16. Mallet ML. Proarrhythmic effects of adenosine: a review of the literature. Emerg Med J 2004;21:408-10. http://dx.doi.org/10.1136/emj.2004.016048 PMid:15208219 PMCid:1726363
17. 17. Thakur RS, Klein GS, Yee R. Current management of the Wolff-Parkinson-White syndrome. AAC Current J Review 1995;4:33-5. http://dx.doi.org/10.1016/1062-1458(95)00082-U