Cardio/ ECG

Question 1

WPW ECG findings

Answer 1

Prolonged PR
Wide QRS
Delta wave - slurred QRS upstroke

ST and T discordant changes - pseudo infarction
Tall R

Question 2

AF in WPW
ECG findings
Mx

Answer 2

Irregularly irregular
wide complex
tachycadia rate often >200
QRS change shape/ morphology
Axis stable

Mx -
AVOID AVN BLOCKING DRUGS
Fleccanide 2mg/kg IV over 30 mins
Synchronised DC cardioversion 200J biphasic