Arrhythmias - Wolff-Parkinson-White Syndrome Flashcards
1
Q
ESSENCE
A
Extra electrical pathyway connecting atria and ventricles
Normally is one pathway (atrio-ventricular node), this extra pathway is often called bundle of Kent
2
Q
CLINICAL FEATURES
Symptoms
A
- Can be asymptomatic
- If sympomatic presents with an arrhythmia
- Palpitations
- Lightheadedness
- Syncope
- Dizziness
- Chest pain
3
Q
Can present as what arrhythmias
A
- Atrioventricular re-entrant tachycardia
- Atrial fibrillation
- Atrial flutter
- Ventricular tachycardia
- Ventricular fibrillation and sudden death
4
Q
MANAGEMENT
Options
A
- Medical
- Procainamide
- Adenosine or CCB
- Procedures
- Electrical cardioversion
- Radiofrequency catheter ablation
5
Q
Procainamide indications
A
- For patients with antidromic AVRT (wide QRS complex) or atrial fibrillation due to WPW syndrome
- Haemodynamically stable
6
Q
Adenosine or CCB indications
A
Patients with orthodromic AVRT (narrow QRS complex)
7
Q
Electrical cardioversion indication
A
All patients haemodynamically unstable
8
Q
Radiofrequency catheter ablation indication
A
Long-term definitive treatment for patients with WPW syndrome
