{"id":1797,"date":"2017-09-28T07:49:24","date_gmt":"2017-09-28T11:49:24","guid":{"rendered":"https:\/\/www.roshreview.com\/?p=1797"},"modified":"2024-01-31T18:42:49","modified_gmt":"2024-01-31T18:42:49","slug":"rapid-review-wolff-parkinson-white-wpw-syndrome","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/rapid-review-wolff-parkinson-white-wpw-syndrome\/","title":{"rendered":"Rapid Review: Wolff-Parkinson-White (WPW) Syndrome"},"content":{"rendered":"\n<p><em>Reviewed January 2024<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"920\" height=\"1024\" src=\"https:\/\/www.roshreview.com\/blog\/wp-content\/uploads\/sites\/2\/2024\/01\/Image-WPW-Wolff-Parkinson-White-Syndrome-Orthodromic-Antidromic-@8x-1-1-920x1024.png\" alt=\"\" class=\"wp-image-13346\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/01\/Image-WPW-Wolff-Parkinson-White-Syndrome-Orthodromic-Antidromic-@8x-1-1-920x1024.png 920w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/01\/Image-WPW-Wolff-Parkinson-White-Syndrome-Orthodromic-Antidromic-@8x-1-1-270x300.png 270w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/01\/Image-WPW-Wolff-Parkinson-White-Syndrome-Orthodromic-Antidromic-@8x-1-1-768x854.png 768w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/01\/Image-WPW-Wolff-Parkinson-White-Syndrome-Orthodromic-Antidromic-@8x-1-1-1381x1536.png 1381w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/01\/Image-WPW-Wolff-Parkinson-White-Syndrome-Orthodromic-Antidromic-@8x-1-1-1841x2048.png 1841w\" sizes=\"auto, (max-width: 920px) 100vw, 920px\" \/><\/figure>\n<\/div>\n\n\n<p><strong><u>Wolff-Parkinson-White (WPW) Syndrome<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ECG will show short PR interval, <strong>delta wave<\/strong>, wide QRS<\/li>\n\n\n\n<li>Most commonly caused by an accessory pathway (<strong>bundle of Kent<\/strong>) connecting atria to ventricles, bypassing AV node<\/li>\n\n\n\n<li>Acute treatment:\n<ul class=\"wp-block-list\">\n<li>Orthodromic (narrow complex): vagal maneuvers, AV nodal blockers (adenosine, beta-blocker, calcium channel blocker)<\/li>\n\n\n\n<li>Antidromic (wide complex): procainamide<\/li>\n\n\n\n<li>Synchronized cardioversion for hemodynamically unstable patients<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Definitive treatment is <strong>radiofrequency ablation<\/strong><\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p>Sample question:<\/p>\n\n\n\n<p>A 23-year-old man presents to your clinic with intermittent episodes of chest discomfort, heart palpitations, and decreased exercise tolerance. Which of the following ECG findings would most strongly suggest a diagnosis of Wolff-Parkinson-White syndrome?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reviewed January 2024 Wolff-Parkinson-White (WPW) Syndrome Sample question: A 23-year-old man presents to your clinic with intermittent episodes of chest discomfort, heart palpitations, and decreased exercise tolerance. Which of the following ECG findings would most strongly suggest a diagnosis of Wolff-Parkinson-White syndrome?<\/p>\n","protected":false},"author":15,"featured_media":6906,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[2020,1996,2021,2022,2023,2024,2025,2026,2027,2028,2029,2011,2012,2000],"tags":[2330,3203,3215],"coauthors":[3864],"class_list":["post-1797","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-adult-gerontology-primary-care","category-blogtype","category-pa-certified","category-certified-emergency-nurse","category-clinical-year","category-didactic-year","category-emergency-medicine","category-emergency-nurse-practitioner","category-family-medicine","category-family-nurse-practitioner","category-internal-medicine","category-pediatric-emergency-medicine","category-pediatric-primary-care","category-rapid-review","tag-cardiology","tag-pance","tag-panre"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.7 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Rapid Review: Wolff-Parkinson-White (WPW) Syndrome - RoshReview.com<\/title>\n<meta name=\"description\" content=\"This Rapid Review distills the important facts about Wolff-Parkinson-White (WPW) syndrome, so you can brush up your knowledge and be a confident medical professional. 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