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Kurath-Koller, S; Manninger, M; Öffl, N; Köstenberger, M; Sallmon, H; Will, J; Scherr, D.
Accuracy of Algorithms Predicting Accessory Pathway Localization in Pediatric Patients with Wolff-Parkinson-White Syndrome.
Children (Basel). 2022; 9(12): Doi: 10.3390/children9121962 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Kurath-Koller Stefan
Co-Autor*innen der Med Uni Graz
Koestenberger Martin
Manninger-Wünscher Martin
Öffl Nathalie Maria
Sallmon Hannes
Scherr Daniel

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We aimed to assess the accuracy of determining accessory pathway (AP) localization from 12 lead ECG tracings by applying 12 different algorithms in pediatric patients diagnosed with Wolff-Parkinson-White syndrome. We compared algorithm accuracy in electrophysiologic study ECG tracings with full preexcitation and resting ECG tracings. The assessing pediatric cardiologists were blinded regarding EP study results on AP localization. For exact AP location, the algorithms published by D'Avila et al. and Boersma et al. yielded the highest accuracy (58%). Distinguishing laterality, the median accuracy for predicting left or right-sided APs was 74%, while for septal APs it was 68%. We conclude that algorithms predicting AP location in pediatric patients with Wolff-Parkinson-White syndrome show low accuracy for exact AP localization. For laterality, however, accuracy was significantly higher.

Find related publications in this database (Keywords)
WPW syndrome
pathway localization
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