How is WPW EMS treated?
WPW with orthodromic AVRT looks identical to run-of-the-mill paroxysmal supraventricular tachycardia (SVT) and can be treated as such. Vagal maneuvers or AV nodal blocking agents are the treatment of choice, as they slow conduction through the AV node and disrupt the re-entrant circuit.
What medications should not be taken with WPW?
Do not give digoxin or nondihydropyridine calcium channel blockers (eg, verapamil, diltiazem) to patients with atrial fibrillation and Wolff-Parkinson-White syndrome because these drugs may trigger ventricular fibrillation.
What is the drug of choice for WPW?
The drug of choice for the treatment of regular supraventricular (reciprocating) tachycardia with narrow QRS complexes, which is the most common arrhythmia in the WPW syndrome, is propranolol. Digitalis is almost equally effective in this case.
Does WPW require treatment?
If you have the WPW pathway but don’t have symptoms, you probably won’t need treatment. If you do, the goal of treatment is to slow a fast heart rate when it occurs and to prevent future episodes. Treatment options include: Vagal maneuvers.
How is tachycardia treated in WPW?
It should be treated in the same way as AV nodal reentrant tachycardia (AVNRT), by blocking AV node conduction with (1) vagal maneuvers (eg, Valsalva maneuver, carotid sinus massage, splashing cold water or ice water on the face), (2) IV adenosine 6-12 mg via a large-bore line (the drug has a very short half-life) in …
Can you treat WPW with adenosine?
Adenosine (Adenocard, Adenoscan) It can interrupt atrioventricular reentrant tachycardia (AVRT) by blocking conduction in the AV node to restore normal sinus rhythm in paroxysmal supraventricular tachycardia (PSVT), including PSVT associated with WPW syndrome.
Can WPW cause heart failure?
WPW is considered as a benign arrhythmia, but provides a basis for the occurrence of arrhythmias. Patients with WPW syndrome may experience palpitations, dizziness, syncope, congestive heart failure or sudden cardiac death (SCD). In some patients, the first and only manifestation of the disease is SCD.
Is WPW considered heart disease?
Wolff-Parkinson-White syndrome (WPW) is a type of heart condition you are born with (congenital). It causes a rapid heart rate. If you have WPW, you may have episodes of palpitations or rapid heartbeats.
Why is flecainide used in WPW syndrome?
Administered during preexcited atrial fibrillation, flecainide consistently slows the ventricular response and converts the majority of cases to sinus rhythm. Serious ventricular proarrhythmia is seen almost exclusively in patients with structural cardiac disease.
Can amiodarone be given in WPW syndrome?
The effect of amiodarone in prolonging the refractory period of the accessory pathway makes this drug especially useful in patients with the Wolff-Parkinson-White syndrome and atrial fibrillation.
How do you treat pre excitation syndrome?
There are both invasive and non-invasive methods of diagnosing preexcitation syndromes. Therapeutic treatment includes pharmacotherapy and ablation, which makes it possible to permanently remove the cause of the arrhythmia.
Does Wolff-Parkinson-White syndrome get worse with age?
Therefore, the prevalence of a potentially malignant form of WPW syndrome in asymptomatic subjects does not decrease significantly with age.