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2012 Dec.

33(6)
J Liaoning Medical University 481

PACES / HRS WPW


( )
[ Cohen MI, Triedman JK, Cannon BC, et al. Heart Rhythm. 2012, 6: 1006-1024]
, ( )
( , 121001)

1 ,
7
10 7% ,
1990 WPW
, DC 11 3% , ,
(2007 )
WPW 508 WPW
( )
( 94 9% (
) )
WPW 78 5%
, , 24 2% ,
(1) 16 7% , 14 3% , 13% ,
, 5% WPW
92% ~ 100% , 0% ~ 13%
,
( Prospective Assessment of Pediat
ric Cardiac Ablation study, PAPCA) (2)
20 90 : WPW SVT
91% ( /
, )
,
3 , 23% , ,
Blaufox
, (1991 ~ 1995 ) 18 18
(1996 ~ 1999 ) SVT
( 90% ,
95 2% ) WPW
, 89% 94%
(3)
4 3% 2 9% , ,
21% , 40 1 min 2006 ,
PAPCA ,
95 7% , 93% :

: (1986) , , ,
:
(1945) , , , , guide.medlive.cn
482 2012 12 , 33 (6)

(88% ) , 2004 , Blaufox


74% :
83% , 57% 33% ,
Collins
( ) ( )

, ,

Drago 250 WPW
: : 0 8% Solomon
Gist 70 WPW :
24 1 3%
1 2010 , Sacher 89
7 : ( Paul, Bokenkamp, Aoyama )
( steerable sheaths, irrigated - tip catheters, cautious :
RF titration) , 91% , ,
7 ,
6 , 30 3 , Bertram :
, Ebstein ,
, Schneider :
,
(4) 1 7% (2 / 117)
,
,
, 3 2% ,
0 7% , :
0 3% PAPCA 0 22% 0 1 13 3 ,
( ) 4 0% , 0 12% ,
0 5% , 0 1% , 0 89%
0 3% 5 , 4
(1 4% )
0 9% (
)
8
( Manolis, Lee, Khairy )
(1) WPW
: WPW
WPW , 20%
0 6% ~ 0 8% Ebstein
(44% ) , D-TGA L-TGA
, Van
( ) , AVRT ,
0 7%
WPW
<15 kg Ebstein Ebstein
,
, guide.medlive.cn
,
, : PACES / HRS WPW ( ) 483

Ebstein WPW , Eb 80% ~ 100% ,


stien (359 ms vs
310 ms) , AF RR 4 000, 20 (
(215 ms vs 218 ms) 65 Ebstein WPW ) 15
WPW : ,
, WPW
79% / 32% , 89% / 29% 75% / 27% 1% WPW SCD
49% , 22% , WPW 36
Bethesda
, ,
, PRKAG2 WPW
AMPK , : AF SPERRI <240 ms
SPERRI < 220
PRKAG2 AMPK ms AF
, , ,
AF WPW
SCD , SCD , ,

(2) WPW
9 (8 ~ 21 ) WPW
( Attention-deficit / hyper
activity disorder, ADHD) (1) ,
, ( A
WPW ADHD , ADHD , B / C ) (
WPW ) , ,
,
WPW ,
ADHD ( 1 ~ 2 / (2)
) , ( 3 ~ 4 mmHg) , AF SPERRI
ADHD , ( A , B / C )
WPW ADHD SCD (3) AF SPERRI250 ms WPW
ADHD ,
(1992 2004 ) , ( A ,
, B / C )
ADHD (4) AF SPERRI > 250 ms
: , WPW ,
( ) ( A , C )
, /
ADHD ( ) ,
WPW ADHD , ( B
ADHD WPW , B / C )
(5) ,
(3) WPW ,
( ) WPW,
, WPW 4
WPW

, guide.medlive.cn
(6) WPW ,
484 2012 12 , 33 (6)

, B / C )
, , (8)
, ( B WPW , ,
, B / C ) ,
(7)
WPW , WPW 1
( B
,

*; ,
, ; ( A) 36 Bethesda
; AF , SPERRI

1 WPW

( )
: 2012-08-29









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PACES/HRSWPW()

,,,121001

JOURNAL OF LIAONING MEDICAL UNIVERSITY
() 2012,33(6)

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