Wolff-parkinson-white syndrome

Question 1

What is Wolff-parkinsons white syndrome?

Answer 1

Accessory pathway caused by depolarisation of the ventricles, between the atria and ventricles presenting as a delta wave in the initial phase of the QRS complex.

Question 2

How do I recognise Wolff-parkinsons white syndrome?

Answer 2

• QRS greater than 0.10 Seconds or 2 1/2 small squares.
• Delta wave present as a widening and slurring of the upstroke of the R-Wave.
• Possible short PR interval (Less than 0.12 seconds or 3 small squares).

Question 3

What leads will Wolff-Parkinsons white be present in?

Answer 3

Not always present in each leaves so will require each lead to be reviewed carefully.

Question 4

Signs and symptoms of Wolff-parkinsons white syndrome?

Answer 4

Can be Asymptomatic unless arrhythmia is exacerbated.

• may get syncope

Question 5

Wolff-parkinsons white syndrome significance ?

Answer 5

• The Accessory pathway is sometimes referred to as the ‘bundle of kent’.

Question 6

How does a person get Wolff -Parkinsons white syndrome?

Answer 6

This is a congenital condition that occurs during fetal development.

Question 7

How should Wolff-parkinsons white syndrome be treated?

Answer 7

Usually self-isoalting however this should be treated according to how the patient presents.