FAQ • Wolff-Parkinson-White Syndrome

FAQ - Wolff-Parkinson-White Syndrome
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Can Long QT Syndrome & Wolff-Parkinson-White Syndrome co-exist?

Yes it can (+ info)

What is Wolff-Parkinson-White Syndrome? Does anyone know anything?

Wolff-Parkinson-White syndrome (WPW) is a syndrome of pre-excitation of the bottom part of your heart, or ventricles, due to an accessory pathway known as the bundle of Kent. This accessory pathway is an abnormal electrical communication from the atria to the ventricles. Many people that have this condition first have symptoms of passing out when they bend over.

My uncle had this. There are several treatment options that can be discussed with the persons cardiologist including medications, cardioversion, and ablation therapy. (+ info)

any doctors out there know anything about Wolff-Parkinson-White syndrome?

Wolff-Parkinson-White Syndrome is a heart rhythm disorder caused by conduction abnormality in the heart. Abnormal pathways between the atria and ventricles cause the electrical signal to arrive at the ventricles too soon and to be transmitted back into the atria. Very fast heart rates may develop as the electrical signal ricochets between the atria and ventricles.

The cause of this syndrome is an abnormality in the electrical circuit within the heart. In addition to the normal electrical circuit, patients with WPW have an additional direct connection between two portions of the heart. The cause of the abnormal electrical circuit is unknown, but most patients are born with the problem.

Symptoms usually are due to Rapid Heartbeat that leads to Palpitations and other associated symptoms such as dizziness or chest pain. Some patients, however, never develop any significant heart problems, and the diagnosis is made during routine evaluations.
A diagnosis is made by abnormalities (delta waves) detected on the EKG that suggest the possibility of the disease.

If these findings are noted on the EKG, then additional testing by a heart specialist is needed. These tests may include a 24-hour ambulatory heart monitoring using a Holter monitor device or EPS (intracardiac electrophysiology studies) that can identify the location of the "accessory" pathway of WPW.

Occasionally, the diagnosis is made on a routine EKG, while other times the diagnosis is made when a patient has a rapid or irregular heart rate.

In the absence of any symptoms, no particular treatment is necessary. However, if any of the above symptoms develop, patients should immediately contact their physician.

Patients who develop symptoms can be treated either with medicines or with surgery. Medicines used to treat the disease include Sotalol, Amiodarone, Quinidine, Procainamide, and Flecainide. If the patient is critically ill, an immediate shock to the heart may need to be applied.

In general, medicines such as Digoxin, Calcium channel blockers (such as Verapamil or Diltiazem), and beta-blocker (such as Atenolol or Metoprolol) should be avoided.

In some patients, however, the treatment of choice is radio frequency ablation, in which a heart specialist uses radio signals delivered within the heart to destroy the abnormal electrical circuit. (+ info)

wolff parkinson white syndrome and mac anesthesia.?

i was denied a local with mac for surgery due to wpw. i have found that a cocktail of sufentanil-lorazepan has no clinically significant effect on the electrophysiologic expression of the accessory pathway. any suggestions from anesthesia doctors or cardiologists?

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It seems to me that local/MAC anesthesia shouldn't be a problem. Personally, I never use either of the drugs you mention, but think that a little midazolam/fentanyl/droperidol would work beautifully.

I'd suggest a discussion with the anesthesia department where you're planning on having the surgery done.

If the MAC was to be administered by a nurse under the direction of your surgeon, then postponement was a good call. You need to have someone there who can treat arrhythmias if they occur. (+ info)

What is Wolff-Parkinson-White Syndrome?

I have wolff parkinson white disease (some call it syndrome), can i have surgery to get breast implants or not

Don't trust anything you read on the Internet about such a subject. This subject attracts the commercial bias of very well to-do "physicians" who could not care for your well-being.

Book an appointment with a GP or specialist. (+ info)

i have wolff parkinson white disease (some call it syndrome) can i have surgery to get breast implants?

What does your illness have to do with breast implant? This is probably a question only a Dr can answer. It seems rather serious. (+ info)

my daughter is pregnant and was just diagnosed with wpw (wolff parkinson white syndrome)..?

I don't know anything about wpw..can anyone tell me if this can cause death during her labor? she lives out of state and I haven't been able to talk to her doctor..please anyone??
she has had this condition since 11 years old and they've just now put a name to it..(she's 21 now)..she is having a c-section on sept 9...

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They can give intravenous adenosine to even a pregnant women to stop supraventricular tachycardia if a problem arises

The worst part of WPW is that she has a 1% chance to pass the condition to her child. (+ info)

Wolff-Parkinson-White Syndrome in 9mo Infant and heart Ablation as a solution.?

My son has recently been diagnosed with WPW and is having a really tough time with recurrent episodes of SVT coupled with a resistance to 1st line drug Adenosine.

He has been in hospital for a week receiving Flecainite and propranolol but still has episodes. Cardio Doctor says he has never had a patient with such resistance and has consulted an electrophysiologist and they both agree on the current treatment as it converts to sinus rhythym everytime.

But it is not a cure and when we tried this as an outpatient my son vomited and experienced an 18hr SVT at 240pbm while we tried to administer the dosages. Hence he is back in hospital now.

My question is : Where can i find a hospital that specializes in heart ablation for infants. In Singapore presently but they dont have the facilities for infants. I'm Australian and would prefer there but cannot locate such an offering. Will look harder on google etc but thought I would try this as an added iron in the fire. HELP

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my newborn is a cardiac baby and the royal children's hospital in Melbourne is the best. it ranks as one of the best children's hospitals in the world. my father lived with this condition for 40 yrs and back then it was only diagnosed in 1 other person in aust and apparently there is a surgical procedure that can correct this condition. best of luck with your son my prayers are with you (+ info)

I had/have? Wolff-Parkinson-White Syndrome. Had a Catheter ablation, removed 2 extra node things. Still palps.

I was diagnosed with WPW Syndrome in January. Had the first EP Study done in early January but they couldn't find the extra nodes. Went in last week and had the surgey again and the Dr. removed 2 nodes. After surgery and the next day my EKG was great and I was released as usual. I am still having palpitations and so I had to wear the Holter Monitor for 24 hours. The nurse called and said that the Dr. wanted to see me. I have normal blood pressure, my HR is normal. No light headedness or fainting. I do get tired though. Anybody else have this problem after the surgery? know what it could be? any help is appreciated.
I am 24 and have Crohn's disease(IBD). I was diagnosed with WPW Syndrome in January. Had the first EP Study done in early January but they couldn't find the extra nodes. Went in last week and had the surgey again and the Dr. removed 2 nodes. After surgery and the next day my EKG was great and I was released as usual. I am still having palpitations and so I had to wear the Holter Monitor for 24 hours. The nurse called and said that the Dr. wanted to see me. I have normal blood pressure, my HR is normal. No light headedness or fainting. I do get tired though. Anybody else have this problem after the surgery? know what it could be? any help is appreciated
My pc is jacked up...lol...I tried adding the new info but it added it to me other details,again. if you need anymore info let me know.
for those who inquired: WPW (Wolff-Parkinsin-White) syndrome is curable through catheter ablation.

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