Е.В. Засим, В.В. Строгий
Республиканский научно-практический центр детской хирургии, Минск, УО «Белорусский государственный медицинский университет»
Цель. Определить прогностические факторы, влияющие на утяжеление течения синдрома Паркинсона-Вольфа-Уайта (WPW) у детей. Методы: проведен ретроспективный анализ течения заболевания у 108 детей с синдромом WPW в возрасте 13,6 (12-16) лет. В зависимости от количества приступов пароксизмальной тахикардии (ПТ) все дети были разделены на 2 группы: группу А составили дети в количестве 47 человек (43,5 %), в анамнезе у которых было не более трех приступов ПТ и они носили редкий характер-в группу В вошел 61 ребенок (56,5%) с частыми (более 1 раза в месяц) приступами ПТ, более четырех в анамнезе. Изучались: семейный анамнез, клиническая картина заболевания, характер ПТ, эффективность лечения, результаты инструментальных исследований. Посредством использования метода математического моделирования определена информативность каждого признака, определена диагностическая информативность признаков.
ключевые слова: дети, синдром Вольфа-Паркинсона-Уайта, пароксизмальная тахикардия, наследственность, дисфункция миокарда

для цитирования: Е.В. Засим, В.В. Строгий. Прогностические факторы синдрома Вольфа-Паркинсона-Уайта в детском возрасте. Неотложная кардиология и кардиоваскулярные риски, 2021, Т. 5, № 1, С. 1128–1136.

Prognostic factors of Wolff-Parkinson-White syndrome in children
E. Zasim, V. Strogiy
Objective: to determine the prognostic factors determining the severity of Wolff-Parkinson-White syndrome (WPW) in children. Methods: a retrospective analysis of the course of the disease was performed in 108 children with WPW syndrome aged 13.6 (12-16) years. Depending on the number of attacks of paroxysmal tachycardia (PT), all children were divided into 2 groups: group A consisted of 47 children (43.5%) with a history of no more than three attacks of PT and they were rare-group B included 61 children (56.5%) with frequent (more than once a month) attacks of PT, more than four in the history. We studied: the family history, the clinical picture of the disease, the nature of paroxysmal tachycardia, the effectiveness of treatment, and the results of instrumental studies. Using the method of mathematical modeling, the informative value of each feature was determined, and the diagnostic value was determined.
keywords: children, Wolff-Parkinson-White syndrome, paroxysmal tachycardia, heredity, myocardial dysfunction

for references: E. Zasim, V. Strogiy. Prognostic factors of Wolff-Parkinson-White syndrome in children. Neotlozhnaya kardiologiya i kardiovaskulyarnye riski (Emergency cardiology and cardiovascular risks), 2021, vol. 5, no. 1, pp. 1128–1136.

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