Wolff-Parkinson-White pattern in a young elite athlete: Algorithm to follow

Authors

Abstract

Wolff-Parkinson-White syndrome is a rare and non-structural heart disease, which belongs to the ventricular preexcitation syndromes. It is associated with the development of sudden death, as it can induce the appearance of malignant arrhythmias in the patient and its diagnosis can be established through electrocardiogram. If it takes place in people linked to sport, with the development of intense physical exercise, it can increase the risk of sudden death. The case of a high-performance athlete with a diagnosis of Wolff-Parkinson-White syndrome is described, and the guidelines to be followed according to international criteria for the interpretation of the electrocardiogram in sportsmen and women are presented.

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Author Biography

Yuri Medrano Plana, Universidad Laica Eloy Alfaro de Manabí

Docente de la Facultad de Ciencias Medicas

References

1. Vilches Izquierdo E, Ochoa Montes LA, Ramos Marrero L, Díaz Londres H, González Lugo M, Padilla González CM, et al. Muerte cardíaca súbita: Enfoque cubano centrado en los resultados de un estudio de perfil de riesgo. CorSalud [Internet]. 2014 [citado 11 Abr 2019];6(Supl 1):79-85. Disponible en: http://www.corsalud.sld.cu/suplementos/2014/v6s1a14/enfoque.html

2. Gimeno Blanes JR. Estratificación del riesgo en la muerte súbita por miocardiopatía hipertrófica. CorSalud [Internet]. 2017 [citado 14 Abr 2019];9(3):218-9. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/article/view/257/520

3. González Armengol JJ, López Farré A, Prados Roa F. Síncope de esfuerzo y riesgo de muerte súbita en deportistas jóvenes: perspectiva clínica y genética. Emergencias. 2011;23(1):47-58.

4. Fitz Maurice M, Di Tommaso F, Barros Pertuz MC, Álvarez Mendoza W, Spagnuolo D, Sastre P. Nuevas áreas de vida - Revisión muerte súbita 2018. Rev Asoc Méd Argent. 2018;131(3):4-13.

5. Emery MS, Kovacs RJ. Sudden cardiac death in athletes. JACC Heart Failure. 2018;6(1):30-40.

6. Bhatia A, Sra J, Akhtar M. Preexcitation syndromes. Curr Probl Cardiol. 2016;41(3):99-137.

7. Sharalaya Z, Phelan D. Cardiac risk of extreme exercise. Sports Med Arthrosc Rev. 2019;27(1):e1-e7.

8. Dhutia H, Malhotra A, Gabus V, Merghani A, Finocchiaro G, Millar L, et al. Cost implications of using different ECG criteria for screening young athletes in the United Kingdom. J Am Coll Cardiol. 2016;68(7):702-11.

9. Morán M. Relevancia de la interpretación del electrocardiograma de reposo en la evaluación pre-participativa de deportistas. Rev Actual [Internet]. 2018 [citado 16 Abr 2019];2(1):8-12. Disponible en: https://www.meds.cl/wp-content/uploads/Art-1.-Mati%CC%81as-Mora%CC%81n.pdf

10. Rao AL, Salerno JC, Asif IM, Drezner JA. Evaluation and management of wolff-Parkinson-white in athletes. Sports Health. 2014;6(4):326-32.

11. Betancourt Reyes GL, Betancourt Betancourt GJ, González Pérez AA. Síndrome de Wolff Parkinson White: reporte de un caso. Rev Cuban Med Int Emerg [Internet]. 2017 [citado 16 Abr 2019];16(2):48-56. Disponible en: http://www.revmie.sld.cu/index.php/mie/article/view/203/pdf_37

12. Miyamoto L. Molecular pathogenesis of familial Wolff-Parkinson-White syndrome. J Med Invest. 2018;65(1.2):1-8.

13. Jiménez Solera MP, Quesada Aguilar CI. Síndrome de preexcitación: wolff parkinson white. Rev Clin Esc Med. 2019;9(2):129-31.

14. Makhija RR, Chow T, Venugopal S, Amsterdam EA. Fast, broad, and irregular: Wolff-Parkinson-White syndrome. Am J Med. 2018;131(12):1456-9.

15. Almendral Garrote J, González Torrecilla E, Atienza Fernández F, Vigil Escribano D, Arenal Maiz A. Tratamiento de los pacientes con preexcitación ventricular. Rev Esp Cardiol. 2004;57(9):859-68.

16. Davenport ED, Rupp KA, Palileo E, Haynes J. Asymptomatic Wolff-Parkinson-White pattern ECG in USAF aviators. Aerosp Med Hum Perform. 2017;88(1):56-60.

17. Drezner JA, Sharma S, Baggish A, Papadakis M, Wilson MG, Prutkin JM, et al. International criteria for electrocardiographic interpretation in athletes: Consensus statement. Br J Sports Med. 2017;51(9):704-31.

18. Cis-Spoturno A, Valenzuela-Candelario L, López-Zea M, Beas-Jiménez JD. Preexcitación ventricular: dificultad en el tratamiento de un caso de Wolff-Parkinson-White en un deportista. Rev Andal Med Deporte. 2014;7(2):90-3.

19. Kim SS, Knight BP. Long term risk of Wolff-Parkinson-White pattern and syndrome. Trends Cardiovasc Med. 2017;27(4):260-8.

20. Chatard JC, Espinosa F, Donnadieu R, Grangeon JP, Sabot JM, Guivarch C, et al. Pre-participation cardiovascular evaluation in Pacific Island athletes. Int J Cardiol. 2019;278:273-9.

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Published

2020-01-30

How to Cite

1.
Medrano Plana Y, Castillo Marcillo Ángel R, Chávez González E. Wolff-Parkinson-White pattern in a young elite athlete: Algorithm to follow. CorSalud [Internet]. 2020 Jan. 30 [cited 2025 Jul. 1];12(1):99-103. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/454

Issue

Vol. 12 No. 1 (2020)

Section

CASE REPORTS

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