Document Detail

Atrial fibrillation in the Wolff-Parkinson-White syndrome: ECG recognition and treatment in the ED.
MedLine Citation:
PMID:  17543664     Owner:  NLM     Status:  MEDLINE    
Estimated to occur in 0.1% to 0.3% of the population, Wolff-Parkinson-White syndrome (WPW) is a condition where atrial impulses bypass the atrioventricular node and activate the ventricular myocardium directly via an accessory pathway. Clinical clues to the diagnosis include a young patient with previous episodes of palpitations, rapid heart rate, or syncope. Although several different rhythm presentations are possible, atrial fibrillation is a not infrequent dysrhythmia seen in the WPW patient. Electrocardiographic features suggestive of WPW atrial fibrillation include irregularity of the rhythm; a very rapid ventricular response; presence of a delta wave; and a wide, bizarre QRS complex. Stable patients suspected of having this condition should not receive agents that predominantly block atrioventricular conduction, but they may be treated with procainamide or ibutilide. If instability is present, electrical cardioversion is required.
Brian T Fengler; William J Brady; Claire U Plautz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  25     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-04     Completed Date:  2007-06-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  576-83     Citation Subset:  IM    
Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
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MeSH Terms
Atrial Fibrillation / diagnosis*,  surgery
Emergency Service, Hospital
Wolff-Parkinson-White Syndrome / diagnosis*,  surgery

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