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10.5935/abc.20160132 http://scihub22266oqcxt.onion/10.5935/abc.20160132 C5102479!5102479 !27627222     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=27627222 &cmd=llinks): Failed to open stream: HTTP request failed! 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Accuracy of the Electrocardiogram in Localizing the Accessory Pathway in Patients with Wolff-Parkinson-White Pattern |pdf=|usr=}}{{27627222 }} gab.com Text Accuracy of the Electrocardiogram in Localizing the Accessory Pathway in Patients with Wolff-Parkinson-White Pattern JO: Arq Bras Cardiol http://www.kidney.de/pget.php?&tw=1&pmid=27627222 #FOAvip BACKGROUND: There are currently several electrocardiographic algorithms to locate the accessory pathway (AP) in patients with Wolff-Parkinson-White (WPW) syndrome. OBJECTIVE: To compare the ability of electrocardiographic algorithms in identifying the location of the AP in patients with WPW pattern referred for ablation. METHODS: Observational, cross-sectional, retrospective study with 111 patients with WPW syndrome referred for AP ablation. The electrocardiogram (ECG) obtained prior to the ablation was analyzed by an experienced observer who consecutively applied seven algorithms to identify non-invasively the AP. We then compared the location estimated with this assessment with that obtained in the electrophysiological study and calculated the agreement rates. RESULTS: Among the APs, 59 (53.15%) were distributed around the mitral annulus and the remaining 52 (46.85%) were located around the tricuspid annulus. The overall absolute accuracy of the algorithms evaluated varied between 27% and 47%, increasing to between 40% and 76% when we included adjacent locations. The absolute agreement rate by AP location was 2.00-52.20% for septal APs (n = 51), increasing to 5.90-90.20% when considering adjacent locations; 7.70-69.20% for right APs (n = 13), increasing to 42.90-100% when considering adjacent locations; and 21.70-54.50% for left APs (n = 47), increasing to 50-87% when considering adjacent locations. CONCLUSION: The agreement rates observed for the analyzed scores indicated a low discriminative ability of the ECG in locating the AP in patients with WPW. Twit Text FOAVip Accuracy of the Electrocardiogram in Localizing the Accessory Pathway in Patients with Wolff-Parkinson-White Pattern ????Arq Bras Cardiol http://www.kidney.de/pget.php?&tw=1&pmid=27627222 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27627222 #FOAvip English Wikipedia <ref>{{Cite pmid|27627222 }}</ref> Accuracy of the Electrocardiogram in Localizing the Accessory Pathway in Patients with Wolff-Parkinson-White Pattern #MMPMID27627222 Teixeira CM ; Pereira TA ; Lebreiro AM ; Carvalho SA Arq Bras Cardiol 2016[Oct]; 107 (4 ): 331-338 PMID27627222 show ga BACKGROUND: There are currently several electrocardiographic algorithms to locate the accessory pathway (AP) in patients with Wolff-Parkinson-White (WPW) syndrome. OBJECTIVE: To compare the ability of electrocardiographic algorithms in identifying the location of the AP in patients with WPW pattern referred for ablation. METHODS: Observational, cross-sectional, retrospective study with 111 patients with WPW syndrome referred for AP ablation. The electrocardiogram (ECG) obtained prior to the ablation was analyzed by an experienced observer who consecutively applied seven algorithms to identify non-invasively the AP. We then compared the location estimated with this assessment with that obtained in the electrophysiological study and calculated the agreement rates. RESULTS: Among the APs, 59 (53.15%) were distributed around the mitral annulus and the remaining 52 (46.85%) were located around the tricuspid annulus. The overall absolute accuracy of the algorithms evaluated varied between 27% and 47%, increasing to between 40% and 76% when we included adjacent locations. The absolute agreement rate by AP location was 2.00-52.20% for septal APs (n = 51), increasing to 5.90-90.20% when considering adjacent locations; 7.70-69.20% for right APs (n = 13), increasing to 42.90-100% when considering adjacent locations; and 21.70-54.50% for left APs (n = 47), increasing to 50-87% when considering adjacent locations. CONCLUSION: The agreement rates observed for the analyzed scores indicated a low discriminative ability of the ECG in locating the AP in patients with WPW. |*Algorithms [MESH] |Accessory Atrioventricular Bundle/*diagnosis/physiopathology [MESH] |Adult [MESH] |Catheter Ablation [MESH] |Cross-Sectional Studies [MESH] |Electrocardiography/*methods [MESH] |Female [MESH] |Humans [MESH] |Male [MESH] |Middle Aged [MESH] |Reference Standards [MESH] |Reference Values [MESH] |Reproducibility of Results [MESH] |Retrospective Studies [MESH] |Statistics, Nonparametric [MESH] |Wolff-Parkinson-White Syndrome/*diagnosis/physiopathology [MESH]Accuracy of the Electrocardiogram in Localizing the Accessory Pathway (epmc).pdf DeepDyve Pubget Overpricing