Manage WPW

Narrow complex: Treat similar to SVT. Wide complex: treat with procainamide or cardioversion - Katie Selman MD

Manage WPW
Manage WPW

image by: კარდიოლოგი გიორგი შაკინოვი • Dr. George Shakinovi

HWN Suggests

Wolff-Parkinson-White Syndrome – Part 2

Atrial fibrillation in the setting of Wolff-Parkinson-White syndrome can be quite dangerous! This is an occasion where giving the wrong drugs (i.e., adenosine or a calcium channel blocker) can be a big mistake! For reasons that are not completely clear these drugs are believed to “facilitate conduction across the accessory pathway”.

The ECG in AF/WPW is quite unique. It shows an irregular, polymorphic tachycardia without turning of the points. That’s how it can be distinguished from polymorphic VT or torsades de pointes. Procainamide or ibutilide may be the only appropriate medications for these patients. Hemodynamically unstable patients should receive synchronized electrical cardioversion.

 

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 Wolff-Parkinson-White Syndrome – Part 2

Atrial fibrillation in the setting of Wolff-Parkinson-White syndrome can be quite dangerous! This is an occasion where giving the wrong drugs (i.e., adenosine or a calcium channel blocker) can be a big mistake! For reasons that are not completely clear these drugs are believed to “facilitate conduction across the accessory pathway” It’s worth remembering that the same potential thromboembolitic complications apply to these patients as for any other patient presenting with atrial fibrillation or atrial flutter.

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