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 Recommends

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.

 

read full article

Resources

 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.

Introducing Stitches!

Your Path to Meaningful Connections in the World of Health and Medicine
Connect, Collaborate, and Engage!

Coming Soon - Stitches, the innovative chat app from the creators of HWN. Join meaningful conversations on health and medical topics. Share text, images, and videos seamlessly. Connect directly within HWN's topic pages and articles.


Be the first to know when Stitches starts accepting users


Stay Connected