Rapid Review: Wolff-Parkinson-White (WPW) Syndrome

September 28, 2017
Reviewed By: Amy Rontal
Wolff-Parkinson-White syndrome

Wolff-Parkinson-White (WPW) Syndrome

  • ECG will show short PR interval, delta wave, wide QRS
  • Most commonly caused by an accessory pathway (bundle of Kent) connects atria to ventricles, bypassing AV node
  • Definitive treatment is radiofrequency ablation

Sample question:

A 23-year-old previously healthy man presents to your clinic with complaints of chest discomfort, heart palpitations and decreased exercise tolerance. Physical exam findings include a pulse of 110 bpm and an otherwise normal cardiac exam. Which of the following findings on ECG confirm the diagnosis of Wolff-Parkinson-White syndrome?

By Yehuda Wolf, MPA, PA-C

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