Can WPW cause atrial fibrillation?
Atrial fibrillation — Less commonly, some people with WPW can develop an abnormal rhythm called atrial fibrillation. During atrial fibrillation, the atria are beating in an uncoordinated manner at a rate of 350 to 600 beats per minute.
How do you treat AF with WPW?
Treatment options for persons with arrhythmias and the WPW syndrome include nonpharmacologic therapies (ie, catheter ablation of the accessory pathway) as well as pharmacologic therapy (to slow ventricular heart rates or to prevent arrhythmias).
Is a fib and WPW the same?
In Wolff-Parkinson-White syndrome, antegrade conduction occurs over an accessory pathway. If atrial fibrillation, develops this is a medical emergency as very rapid ventricular rates can develop. and Atrial Fibrillation. Symptoms include palpitations and sometimes weakness, effort intolerance, dyspnea, and presyncope.
What is contraindicated in WPW?
The heart drug, digoxin, is contraindicated in adults with WPW syndrome.
Is beta blocker contraindicated in WPW?
Verapamil and betablockers are not the drugs to fear upon in WPW syndrome.In fact , even in this era of hi tech cardiac care , it has a useful role to play in the chronic management of WPW .
How do you detect atrial fibrillation?
An ECG can show if the heart is beating too fast, too slow or not at all. An ECG is the main test for diagnosing atrial fibrillation. Blood tests. These help a doctor rule out thyroid problems or detect other substances in the blood that may lead to A-fib .
Do you give adenosine in WPW?
Adenosine is a naturally occurring substance found in all of us. The adenosine briefly blocks normal conduction through the AV node, which slows your heart rate and unmasks ECG changes in patients who have a concealed form of WPW. Your doctor will administer the drug through a vein in your arm and record your ECG.
Why should you not give adenosine to WPW?
The concern with using adenosine in patients with WPW is that if the AV node is blocked than impulses from the atria will be able to reach the ventricles at a very rapid rate, since they are not slowed down through the accessory pathway as they are at the AV node.
Can adenosine be used in WPW?
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.