Zespół wolffa-parkinsona-white’a (wpw)
Charakterystyka, pielęgnacja i opieka

Zespół Wolffa-Parkinsona-White’a (WPW) to wrodzona wada serca charakteryzująca się obecnością dodatkowej drogi przewodzenia elektrycznego między przedsionkami a komorami, co prowadzi do zaburzeń rytmu, w tym częstoskurczu nadkomorowego (SVT). Diagnostyka opiera się na EKG (skrót PR, poszerzony QRS, fala delta), badaniu elektrofizjologicznym, Holterze EKG oraz próbie wysiłkowej. Kluczowe jest ocenienie ryzyka nagłego zgonu sercowego, zwłaszcza u pacjentów z objawami, krótkim okresem refrakcji dodatkowej drogi, migotaniem przedsionków czy wieloma drogami przewodzenia. Leczenie ostrego epizodu obejmuje manewry wagalne, farmakoterapię (leki antyarytmiczne klasy I i III, adenozynę, prokainamid) oraz kardiowersję elektryczną w stanach niestabilnych. Ablacja przezskórna jest metodą z wyboru w leczeniu objawowego WPW, z ponad 95% skutecznością, umożliwiającą trwałe wyeliminowanie dodatkowej drogi przewodzenia i redukcję ryzyka nagłego zgonu.

Wprowadzenie do zespołu Wolffa-Parkinsona-White’a (WPW)

Zespół Wolffa-Parkinsona-White’a (WPW) to schorzenie serca charakteryzujące się występowaniem dodatkowej drogi przewodzenia elektrycznego między przedsionkami a komorami serca, co prowadzi do zaburzeń rytmu serca i bardzo szybkiej akcji serca (tachykardii).12 Jest to wrodzona wada serca, co oznacza, że pacjent urodził się z tym problemem. WPW jest jedną z najczęstszych przyczyn zaburzeń rytmu serca u niemowląt i dzieci, ale może też występować u osób dorosłych.34

Dodatkowa droga przewodzenia powoduje, że sygnały elektryczne docierają do komór serca zbyt wcześnie, co prowadzi do nieprawidłowego wzorca przewodzenia i może wywoływać epizody częstoskurczu nadkomorowego (SVT).5 Objawy mogą pojawiać się nagle, występować okresowo i różnić się nasileniem u poszczególnych pacjentów.6

Objawy zespołu WPW

Osoby z zespołem WPW mogą doświadczać różnych objawów związanych z szybką akcją serca, takich jak:78

  • Kołatanie serca (uczucie szybkiego lub nieregularnego bicia serca)
  • Zawroty głowy i uczucie oszołomienia
  • Omdlenia
  • Ból w klatce piersiowej lub uczucie ucisku
  • Duszność
  • Zmęczenie, zwłaszcza podczas epizodów szybkiej akcji serca
  • Niepokój

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Warto zaznaczyć, że wiele osób z zespołem WPW może być bezobjawowych lub doświadczać objawów sporadycznie. U niektórych pacjentów objawy mogą pojawić się dopiero w okresie nastoletnim lub wczesnej dorosłości.11 U niemowląt z WPW można zaobserwować bladoszarą skórę, drażliwość, przyspieszony oddech i utratę apetytu.12

Diagnoza i ocena ryzyka w zespole WPW

Diagnostyka zespołu Wolffa-Parkinsona-White’a obejmuje kompleksową ocenę kliniczną, badania elektrofizjologiczne oraz analizę czynników ryzyka.13

Badania diagnostyczne

Diagnoza zespołu WPW opiera się na następujących badaniach:1415

  • Badanie elektrokardiograficzne (EKG) – charakterystyczne zmiany w EKG obejmują: skrócony odstęp PR, poszerzony zespół QRS oraz obecność fali delta
  • Badanie fizykalne – lekarz osłuchuje serce za pomocą stetoskopu i zbiera wywiad dotyczący objawów i historii medycznej
  • Badanie elektrofizjologiczne (EP) – inwazyjne badanie umożliwiające dokładną lokalizację dodatkowej drogi przewodzenia i ocenę jej właściwości elektrofizjologicznych
  • Holter EKG – całodobowe monitorowanie pracy serca, które może uchwycić epizody arytmii
  • Próba wysiłkowa – badanie oceniające reakcję serca na wysiłek fizyczny

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Ocena ryzyka

Kluczowym elementem opieki nad pacjentem z zespołem WPW jest ocena ryzyka nagłego zgonu sercowego. Czynniki zwiększające ryzyko obejmują:1819

  • Obecność objawów, zwłaszcza omdleń
  • Krótki okres refrakcji dodatkowej drogi przewodzenia
  • Występowanie migotania przedsionków
  • Obecność wielu dodatkowych dróg przewodzenia
  • Rodzinne występowanie nagłego zgonu sercowego
  • Współistniejące wady strukturalne serca

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Szczególnej uwagi wymagają pacjenci bezobjawowi, u których zespół WPW został wykryty przypadkowo. Wyzwaniem klinicznym jest określenie, którzy z bezobjawowych pacjentów mogą wymagać interwencji terapeutycznej.22

Podejście terapeutyczne w zespole WPW

Leczenie zespołu Wolffa-Parkinsona-White’a jest uzależnione od częstości występowania objawów, ich nasilenia oraz rodzaju arytmii powodujących szybką akcję serca.23 Główne cele terapeutyczne to: spowolnienie szybkiej akcji serca podczas jej występowania oraz zapobieganie przyszłym epizodom.2425

Postępowanie w ostrym epizodzie tachykardii

W przypadku ostrego epizodu częstoskurczu związanego z zespołem WPW stosuje się następujące metody:2627

  • Manewry wagalne – proste czynności, które mogą zwolnić akcję serca, takie jak kaszel, napinanie się jak podczas defekacji, masaż zatoki szyjnej czy przyłożenie do twarzy zimnego, mokrego ręcznika
  • Farmakoterapia – w przypadku nieskuteczności manewrów wagalnych można zastosować leki dożylnie w celu kontroli rytmu serca i przywrócenia prawidłowego rytmu
  • Kardiowersja elektryczna – stosowana, gdy manewry wagalne i leki nie działają; polega na przywróceniu prawidłowego rytmu serca za pomocą impulsu elektrycznego

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W przypadku migotania przedsionków u pacjentów z WPW, jeśli stan jest niestabilny hemodynamicznie, należy natychmiast przeprowadzić kardiowersję elektryczną.31 W stanach stabilnych hemodynamicznie można rozważyć farmakoterapię lekami antyarytmicznymi klasy Ic lub III.32

Długoterminowe metody leczenia

Do długoterminowych metod leczenia zespołu WPW należą:3334

  • Ablacja przezskórna – preferowana metoda leczenia objawowego zespołu WPW; polega na wprowadzeniu cewnika do serca i zniszczeniu dodatkowej drogi przewodzenia za pomocą energii o częstotliwości radiowej lub krioterapii
  • Farmakoterapia przewlekła – może być stosowana u pacjentów, którzy odmawiają ablacji lub u których istnieje zwiększone ryzyko powikłań związanych z zabiegiem
  • Operacja kardiochirurgiczna – rzadko stosowana, głównie u pacjentów, u których ablacja przezskórna była nieskuteczna lub którzy wymagają operacji serca z innych powodów

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Ablacja przezskórna jest metodą z wyboru w leczeniu objawowego zespołu WPW, z wysoką skutecznością sięgającą 95% przypadków.3839 Zabieg ten pozwala na trwałe wyeliminowanie dodatkowej drogi przewodzenia, co prowadzi do ustąpienia objawów i eliminuje ryzyko nagłego zgonu sercowego.40

Opieka pielęgniarska nad pacjentem z zespołem WPW

Rola pielęgniarki w opiece nad pacjentem z zespołem Wolffa-Parkinsona-White’a jest kluczowa i obejmuje zarówno monitorowanie stanu pacjenta, jak i edukację zdrowotną.41

Monitorowanie i obserwacja pacjenta

Zadania pielęgniarskie w zakresie monitorowania pacjenta obejmują:4243

  • Monitorowanie podstawowych parametrów życiowych, zwłaszcza tętna i ciśnienia tętniczego
  • Nadzór nad pacjentem po zabiegach inwazyjnych (np. ablacji przezskórnej)
  • Obserwacja miejsca wkłucia cewnika pod kątem krwawienia lub innych powikłań
  • Monitorowanie rytmu serca za pomocą telemetrii (urządzenia monitorującego EKG)
  • Podawanie leków doustnych lub dożylnych zgodnie z zaleceniami
  • Rozpoznawanie objawów nawrotu arytmii i natychmiastowe reagowanie

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Po zabiegu ablacji przezskórnej pielęgniarka instruuje pacjenta, aby odpoczywał w łóżku przez około 8-12 godzin. Monitoruje tętno co godzinę i ciśnienie krwi co 4 godziny przez 24 godziny. W razie potrzeby stosuje się telemetrię. Pacjent powinien natychmiast zgłosić pielęgniarce lub lekarzowi krwawienie z pachwiny.4647

Edukacja pacjenta i rodziny

Edukacja pacjenta z zespołem WPW oraz jego rodziny jest niezbędnym elementem opieki i obejmuje:4849

  • Wyjaśnienie istoty schorzenia i mechanizmu powstawania arytmii
  • Naukę rozpoznawania objawów częstoskurczu
  • Instruktaż dotyczący wykonywania manewrów wagalnych
  • Informacje o stosowanych lekach, ich działaniu i możliwych działaniach niepożądanych
  • Zalecenia dotyczące modyfikacji stylu życia
  • Prowadzenie dziennika epizodów WPW w celu monitorowania przebiegu choroby
  • Wskazówki kiedy należy szukać pomocy medycznej

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Pacjent powinien być świadomy, kiedy należy wezwać pogotowie ratunkowe lub zgłosić się do szpitala, zwłaszcza w przypadku: utrzymującej się szybkiej akcji serca, omdlenia, duszności lub bólu w klatce piersiowej.5354

Farmakoterapia w zespole WPW

Leczenie farmakologiczne odgrywa istotną rolę w postępowaniu z pacjentami z zespołem Wolffa-Parkinsona-White’a, jednak wymaga szczególnej ostrożności ze względu na specyfikę tego schorzenia.55

Leki stosowane w zespole WPW

W terapii zespołu WPW można stosować następujące grupy leków:5657

  • Leki antyarytmiczne klasy I (np. flekainid, propafenon) – mogą być stosowane do zapobiegania nawrotom arytmii
  • Leki antyarytmiczne klasy III (np. amiodaron) – użyteczne w kontroli i zapobieganiu szybkiej akcji serca
  • Adenozyna – może być stosowana ostrożnie w niektórych przypadkach częstoskurczu nadkomorowego
  • Prokainamid – może być wykorzystywany do kontroli lub zapobiegania szybkiej akcji serca

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Wybór leku zależy od rodzaju arytmii, stanu klinicznego pacjenta oraz współistniejących chorób. Farmakoterapia może być stosowana jako leczenie przejściowe przed ablacją lub jako długoterminowa opcja dla pacjentów, którzy nie kwalifikują się do ablacji.60

Leki przeciwwskazane w zespole WPW

Niektóre leki są przeciwwskazane lub wymagają szczególnej ostrożności u pacjentów z zespołem WPW:6162

  • Leki blokujące węzeł przedsionkowo-komorowy (np. blokery kanału wapniowego, beta-blokery) – mogą nasilać przewodzenie przez dodatkową drogę i prowadzić do pogorszenia arytmii
  • Digoksyna – przeciwwskazana u pacjentów z WPW; większość zgonów z powodu zespołu WPW była związana ze stosowaniem digoksyny
  • Leki sympatykomimetyczne – mogą przyspieszać akcję serca
  • Leki udrażniające nos dostępne bez recepty – często zawierają substancje przyspieszające akcję serca (stymulanty)

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Pielęgniarka pracująca na oddziale intensywnej opieki medycznej lub ratunkowym musi mieć świadomość, dlaczego wcześniej istniejące zaburzenia serca mogą wpływać na leczenie antyarytmiczne. Jeśli leki antyarytmiczne są podawane niezgodnie z zaleceniami u pacjentów z zespołem WPW, mogą wystąpić poważne działania niepożądane.65

Szczególne aspekty opieki nad pacjentem z WPW

Opieka nad pacjentem po ablacji przezskórnej

Ablacja przezskórna jest metodą z wyboru w leczeniu objawowego zespołu WPW. Po zabiegu pacjent wymaga specjalistycznej opieki pielęgniarskiej, która obejmuje:6667

  • Monitorowanie parametrów życiowych (tętno, ciśnienie tętnicze, saturacja)
  • Ocenę miejsca wkłucia pod kątem krwawienia, krwiaka lub zasinienia
  • Monitorowanie rytmu serca za pomocą telemetrii
  • Obserwację pod kątem powikłań, takich jak tamponada serca, zaburzenia przewodzenia czy udar
  • Kontrolę bólu
  • Stopniowe uruchamianie pacjenta

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Pielęgniarka powinna również udzielić pacjentowi instrukcji dotyczących dalszej opieki po wypisie, w tym zaleceń dotyczących aktywności fizycznej, pielęgnacji miejsca wkłucia oraz objawów, które wymagają natychmiastowej konsultacji medycznej.70

WPW u dzieci i młodzieży

Opieka nad dziećmi i młodzieżą z zespołem WPW wymaga szczególnego podejścia:7172

  • Dostosowanie edukacji zdrowotnej do wieku i możliwości poznawczych dziecka
  • Wsparcie psychologiczne dla dziecka i rodziny
  • Monitorowanie objawów z uwzględnieniem specyfiki wieku rozwojowego
  • Współpraca z rodzicami w zakresie prowadzenia dziennika epizodów
  • Edukacja rodziców w zakresie rozpoznawania objawów i postępowania w przypadku ich wystąpienia
  • Podejście rodzinne w procesie leczenia

7374

U dzieci z zespołem WPW często stosuje się farmakoterapię przez pierwszy rok życia, a do 2/3 niemowląt „wyrasta” z WPW i nie wymaga dalszego leczenia.75 Do czasu pełnej oceny WPW u pacjenta, mogą być wprowadzone pewne ograniczenia dotyczące intensywnego wysiłku fizycznego, co określa elektrofizjolog lub kardiolog opiekujący się pacjentem.76

WPW w ciąży

Zarówno ciąża, jak i zespół WPW wzajemnie nasilają tendencję do wywoływania arytmii. Opieka nad kobietą ciężarną z zespołem WPW wymaga specjalnego podejścia:77

  • Odpowiednie przygotowanie z preloadem płynów i pozycjonowaniem
  • Zabezpieczenie odpowiednich leków i sprzętu ratunkowego
  • Unikanie tachyarytmii i szybkie leczenie w przypadku ich wystąpienia
  • Monitorowanie tętna płodu podczas kardiowersji matki
  • Gotowość do pilnego cięcia cesarskiego w przypadku bradykardii płodu

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Celem opieki nad ciężarną z WPW jest zapewnienie odpowiedniej perfuzji wieńcowej, zmniejszenie obciążenia serca, łagodzenie bólu w klatce piersiowej oraz utrzymanie prawidłowej perfuzji tkanek, co potwierdza prawidłowa częstość akcji serca płodu i niezakłócona perfuzja tkanek płodu/macicy.79

Zalecenia dotyczące stylu życia i samoopieki

Pacjenci z zespołem Wolffa-Parkinsona-White’a powinni przestrzegać zaleceń dotyczących stylu życia, które mogą pomóc w kontroli objawów i zapobieganiu epizodom arytmii.8081

Zdrowy styl życia

Zalecenia dotyczące stylu życia dla pacjentów z WPW obejmują:8283

  • Unikanie palenia tytoniu – palenie może pogorszyć stan choroby i zwęża naczynia krwionośne w sercu
  • Ograniczenie lub unikanie alkoholu – jeśli alkohol wywołuje epizody arytmii
  • Ograniczenie kofeiny i innych stymulantów – kawa, herbata, napoje energetyczne mogą przyspieszyć akcję serca
  • Regularna aktywność fizyczna – dostosowana do indywidualnych możliwości i zaleceń lekarza
  • Zdrowa dieta – zbilansowana, bogata w owoce, warzywa i pełne ziarna
  • Utrzymanie prawidłowej masy ciała
  • Radzenie sobie ze stresem emocjonalnym – techniki relaksacyjne, medytacja, psychoterapia
  • Unikanie leków udrażniających nos dostępnych bez recepty – często zawierają stymulanty

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Samoopieka i monitorowanie objawów

Pacjenci z zespołem WPW powinni nauczyć się monitorować swój stan zdrowia i reagować na objawy:8788

  • Prowadzenie dziennika epizodów WPW – zapisywanie częstości, czasu trwania i okoliczności wystąpienia objawów
  • Prawidłowe stosowanie leków – przyjmowanie leków dokładnie zgodnie z zaleceniami lekarza
  • Wykonywanie manewrów wagalnych – w przypadku wystąpienia epizodu tachykardii
  • Regularne wizyty kontrolne – przestrzeganie terminów wizyt i badań
  • Noszenie identyfikatora medycznego – informującego o schorzeniu w nagłych przypadkach
  • Znajomość objawów alarmowych – wymagających natychmiastowej pomocy medycznej

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Pacjent powinien mieć ustalony plan postępowania w przypadku wystąpienia epizodu szybkiej akcji serca, co pozwoli na zachowanie spokoju i poczucia kontroli. Ważne jest, aby znać swoją prawidłową częstość akcji serca, umieć wykonywać manewry wagalne oraz wiedzieć, kiedy szukać pomocy medycznej.9293

Współpraca interdyscyplinarna w opiece nad pacjentem z WPW

Efektywna opieka nad pacjentem z zespołem Wolffa-Parkinsona-White’a wymaga współpracy wielu specjalistów w ramach zespołu interdyscyplinarnego.9495

Rola poszczególnych członków zespołu

W skład zespołu interdyscyplinarnego mogą wchodzić:9697

  • Kardiolog – specjalizujący się w wadach wrodzonych serca (kardiolog wrodzonych wad serca)
  • Elektrofizjolog – kardiolog specjalizujący się w zaburzeniach rytmu serca
  • Pielęgniarka – zapewniająca ciągłość opieki, monitorowanie i edukację pacjenta
  • Technik EKG – wykonujący specjalistyczne badania elektrokardiograficzne
  • Psycholog – pomagający w radzeniu sobie z aspektami psychologicznymi choroby
  • Położna – w przypadku opieki nad kobietą ciężarną z WPW
  • Dietetyk – wspierający w utrzymaniu zdrowej diety
  • Fizjoterapeuta – pomagający w dostosowaniu aktywności fizycznej

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Kluczowa jest ścisła współpraca między tymi specjalistami, aby zapewnić kompleksową opiekę nad pacjentem z WPW i zoptymalizować wyniki leczenia.100

Role i zadania pielęgniarki w zespole interdyscyplinarnym

Pielęgniarka odgrywa kluczową rolę w zespole interdyscyplinarnym, realizując następujące zadania:101102

  • Koordynacja opieki nad pacjentem
  • Monitorowanie stanu pacjenta i reakcji na leczenie
  • Edukacja pacjenta i rodziny na temat schorzenia, leczenia i samoopieki
  • Prowadzenie dokumentacji medycznej
  • Współpraca z innymi członkami zespołu w celu zapewnienia ciągłości opieki
  • Wsparcie emocjonalne dla pacjenta i rodziny
  • Przygotowanie pacjenta do badań i zabiegów
  • Opieka nad pacjentem po zabiegach inwazyjnych

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Pielęgniarki pracujące z pacjentami z WPW muszą mieć dogłębną wiedzę na temat schorzenia, możliwych powikłań oraz zasad podawania leków antyarytmicznych, aby zapewnić bezpieczną i skuteczną opiekę.105

Rokowanie i jakość życia pacjentów z zespołem WPW

Rokowanie dla pacjentów z zespołem Wolffa-Parkinsona-White’a jest generalnie bardzo dobre, zwłaszcza w przypadku wczesnego rozpoznania i odpowiedniego leczenia.106107

Rokowanie

Czynniki wpływające na rokowanie w zespole WPW:108109

  • Wczesne rozpoznanie i leczenie
  • Skuteczność ablacji przezskórnej (ponad 95% skuteczności)
  • Współistniejące choroby sercowo-naczyniowe
  • Wiek pacjenta w momencie rozpoznania
  • Właściwości elektrofizjologiczne dodatkowej drogi przewodzenia
  • Przestrzeganie zaleceń terapeutycznych

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Z odpowiednim leczeniem i zarządzaniem, większość osób z zespołem WPW może prowadzić normalne, zdrowe życie.112 W przypadku dzieci, arytmie spowodowane zespołem WPW są uleczalne, a ablacja często rozwiązuje problem.113

Wpływ na jakość życia

Zespół WPW może wpływać na jakość życia pacjentów w różnych aspektach:114115

  • Nieprzewidywalność epizodów arytmii
  • Lęk związany z możliwością wystąpienia objawów
  • Ograniczenia w aktywności fizycznej
  • Konieczność regularnych wizyt kontrolnych
  • Stosowanie leków i ich potencjalne działania niepożądane
  • Stres związany z procedurami medycznymi

116117

Badania wykazały, że pacjenci, którzy przeszli zabieg ablacji przezskórnej, doświadczają znacznej poprawy jakości życia. Procedura jest bardziej opłacalna niż długotrwała farmakoterapia lub zabieg chirurgiczny.118

Ważne jest, aby personel medyczny, w tym pielęgniarki, brał pod uwagę nie tylko aspekty fizyczne choroby, ale również jej wpływ na sferę psychospołeczną pacjenta, zapewniając odpowiednie wsparcie i edukację.119120

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  1. 09.04.2026
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Materiały źródłowe

  • #1
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abo7611
    Wolff-Parkinson-White (WPW) syndrome is a heart rhythm problem that causes a very fast heart rate. It happens because you have an extra electrical pathway in your heart. WPW is a congenital heart problem. This means you were born with the problem. […] Your doctor may prescribe medicines to help slow down your heartbeat. Your doctor may also suggest you try vagal manoeuvres when having an episode of WPW. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] Be safe with medicines. Take your medicines exactly as prescribed. […] If your doctor showed you how to do vagal manoeuvres, try them when you have an episode. […] Monitor your condition by keeping a diary of your WPW episodes.
  • #2 Wolff-Parkinson-White (WPW) Syndrome: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.wolff-parkinson-white-wpw-syndrome-care-instructions.abo7611
    Wolff-Parkinson-White (WPW) syndrome is a heart rhythm problem that causes a very fast heart rate. It happens because you have an extra electrical pathway in your heart. WPW is a congenital heart problem. This means you were born with it. […] Your doctor may prescribe medicines to help slow down your heartbeat. Your doctor may also suggest you try vagal maneuvers when having an episode of WPW. These are things that might help slow your heart rate. Your doctor can show you how to do vagal maneuvers. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.
  • #3 Wolff-Parkinson-White syndrome (WPW): MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000151.htm
    Wolff-Parkinson-White (WPW) syndrome is a condition in which there is an extra electrical pathway in the heart that leads to periods of rapid heart rate (tachycardia). […] WPW syndrome is one of the most common causes of fast heart rate problems in infants and children. […] A person with this syndrome may have: Chest pain or chest tightness, Dizziness, Lightheadedness, Fainting, Palpitations (a sensation of feeling your heart beating, usually quickly or irregularly), Shortness of breath. […] Medicines, particularly antiarrhythmic drugs such as procainamide or amiodarone, may be used to control or prevent a rapid heartbeat. […] The long-term treatment for WPW syndrome is very often catheter ablation. […] Catheter ablation cures this disorder in most people. […] The success rate for the procedure ranges between 85% to 95%. […] Contact your provider if: You have symptoms of WPW syndrome. […] You have this disorder and symptoms get worse or do not improve with treatment.
  • #4 Wolff-Parkinson-White syndrome (WPW) Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/wolff-parkinson-white-syndrome-wpw
    Wolff-Parkinson-White (WPW) syndrome is a condition in which there is an extra electrical pathway in the heart that leads to periods of rapid heart rate (tachycardia). […] WPW syndrome is one of the most common causes of fast heart rate problems in infants and children. […] Very rapid heartbeats, a complication of Wolff-Parkinson-White, can result in severe hypotension and syncope, or loss of consciousness. […] In people with WPW syndrome, some of the heart’s electrical signals go down an extra pathway. This may cause a very rapid heart rate called supraventricular tachycardia. […] A person with this syndrome may have: Chest pain or chest tightness, Dizziness, Lightheadedness, Fainting, Palpitations (a sensation of feeling your heart beating, usually quickly or irregularly), Shortness of breath.
  • #5 Wolff-Parkinson-White Syndrome | Conditions | UCSF Health
    https://www.ucsfhealth.org/conditions/wolff-parkinson-white-syndrome
    With Wolff-Parkinson-White (WPW) syndrome, an extra, abnormal pathway is present between the atrium, or upper chamber, and ventricle, or lower chamber. This causes the electrical signal to arrive at the ventricle too soon and to be transmitted back into the atrium. Very fast heart rates may develop as the electrical signal ricochets between the atria and ventricles. […] We offer comprehensive evaluations to pinpoint the source of the arrhythmia, as well as the most innovative treatments available to restore the heart’s normal rhythm. Our team includes electrophysiologists cardiologists who subspecialize in heart rhythm disorders as well as expert nurses and technicians. […] Patients who choose to participate in clinical trials may have access to experimental therapies, devices or medications that might work better for them than the established options.
  • #6 Wolff-Parkinson-White Syndrome
    https://healthlibrary.gradyhealth.org/Library/Wellness/Safety/134,228
    Wolff-Parkinson-White syndrome (WPW) is a type of heart condition you are born with (congenital). It causes a rapid heart rate. You may have episodes of palpitations or rapid heartbeats if you have WPW. WPW affects less than 1 in 100 people. […] In WPW, the heart has an extra electrical pathway that causes a rapid heartbeat (tachycardia). It forms before birth as the heart is developing. […] WPW affects both men and women. In most cases, the cause of WPW isn’t known. […] With WPW, you may not have any episodes of tachycardia for many years. Symptoms may also start and stop suddenly and occur at any age. […] The characteristic finding in WPW is pre-excitation or a delta wave on a test called an electrocardiogram (ECG). […] You may not need any treatment if you don’t have symptoms. Or if you have infrequent symptoms.
  • #7 Wolff-Parkinson-White syndrome (WPW): MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000151.htm
    Wolff-Parkinson-White (WPW) syndrome is a condition in which there is an extra electrical pathway in the heart that leads to periods of rapid heart rate (tachycardia). […] WPW syndrome is one of the most common causes of fast heart rate problems in infants and children. […] A person with this syndrome may have: Chest pain or chest tightness, Dizziness, Lightheadedness, Fainting, Palpitations (a sensation of feeling your heart beating, usually quickly or irregularly), Shortness of breath. […] Medicines, particularly antiarrhythmic drugs such as procainamide or amiodarone, may be used to control or prevent a rapid heartbeat. […] The long-term treatment for WPW syndrome is very often catheter ablation. […] Catheter ablation cures this disorder in most people. […] The success rate for the procedure ranges between 85% to 95%. […] Contact your provider if: You have symptoms of WPW syndrome. […] You have this disorder and symptoms get worse or do not improve with treatment.
  • #8 Wolff Parkinson White Syndrome – The Cardiology Advisor
    https://www.thecardiologyadvisor.com/ddi/wolff-parkinson-white-syndrome/
    Wolff Parkinson White syndrome, or WPW syndrome, is a condition that occurs when an extra electrical pathway in the heart causes a rapid heartbeat leading to congenital pre-excitation of the heart. In some cases, conduction through this accessory pathway leads to malignant tachyarrhythmias. The hallmark finding of Wolff Parkinson White syndrome is the electrocardiographic (ECG) finding of the delta wave. Many patients are asymptomatic making epidemiological tracking a challenge. The estimated prevalence of WPW syndrome in the general population is 0.1 to 0.3%. […] Because some Wolff Parkinson White syndrome patients never develop an arrhythmia, these patients may be asymptomatic and have a normal physical exam. Symptomatic patients typically present with cardiovascular symptoms such as palpitations, presyncope, or syncope due to tachyarrhythmia. Patients who are symptomatic may also present with chest pain, dyspnea, and even sudden cardiac death (SCD). SCD typically occurs due to ventricular fibrillation.
  • #9 Wolff-Parkinson-White syndrome (WPW) Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/wolff-parkinson-white-syndrome-wpw
    Wolff-Parkinson-White (WPW) syndrome is a condition in which there is an extra electrical pathway in the heart that leads to periods of rapid heart rate (tachycardia). […] WPW syndrome is one of the most common causes of fast heart rate problems in infants and children. […] Very rapid heartbeats, a complication of Wolff-Parkinson-White, can result in severe hypotension and syncope, or loss of consciousness. […] In people with WPW syndrome, some of the heart’s electrical signals go down an extra pathway. This may cause a very rapid heart rate called supraventricular tachycardia. […] A person with this syndrome may have: Chest pain or chest tightness, Dizziness, Lightheadedness, Fainting, Palpitations (a sensation of feeling your heart beating, usually quickly or irregularly), Shortness of breath.
  • #10 Wolff-Parkinson-White Syndrome – Heart Condition | familydoctor.org
    https://familydoctor.org/condition/wolff-parkinson-white-syndrome/
    Wolff-Parkinson-White (WPW) syndrome is a heart condition. People who have WPW syndrome are born with an extra electrical pathway in their heart. It changes the rhythm of their heartbeat. That’s called an arrhythmia. They may experience a very fast heartbeat (called tachycardia) for periods of time. Symptoms can start without warning. However, certain things may trigger them, including caffeine, alcohol, and stimulants. The condition is rare and affects all ages, including infants. […] Some people who have WPW syndrome never experience any symptoms. They don’t know they have the condition. Most people don’t notice symptoms until they are in their teens or early twenties. That’s when the symptoms commonly appear for the first time. If you have WPW syndrome, you may experience: Unexplained anxiety, Palpitations (rapid thumping or fluttering) in the chest, Feeling tired (fatigue), Feeling light-headed or dizzy, Loss of consciousness (passing out), Shortness of breath, Chest pain. Infants may experience a change of color on their skin (pale gray), irritability, rapid breathing, and loss of appetite.
  • #11 Wolff-Parkinson-White Syndrome – Heart Condition | familydoctor.org
    https://familydoctor.org/condition/wolff-parkinson-white-syndrome/
    Wolff-Parkinson-White (WPW) syndrome is a heart condition. People who have WPW syndrome are born with an extra electrical pathway in their heart. It changes the rhythm of their heartbeat. That’s called an arrhythmia. They may experience a very fast heartbeat (called tachycardia) for periods of time. Symptoms can start without warning. However, certain things may trigger them, including caffeine, alcohol, and stimulants. The condition is rare and affects all ages, including infants. […] Some people who have WPW syndrome never experience any symptoms. They don’t know they have the condition. Most people don’t notice symptoms until they are in their teens or early twenties. That’s when the symptoms commonly appear for the first time. If you have WPW syndrome, you may experience: Unexplained anxiety, Palpitations (rapid thumping or fluttering) in the chest, Feeling tired (fatigue), Feeling light-headed or dizzy, Loss of consciousness (passing out), Shortness of breath, Chest pain. Infants may experience a change of color on their skin (pale gray), irritability, rapid breathing, and loss of appetite.
  • #12 Wolff-Parkinson-White Syndrome – Heart Condition | familydoctor.org
    https://familydoctor.org/condition/wolff-parkinson-white-syndrome/
    There are several treatment options available for WPW syndrome. You doctor may talk to you about vagal maneuvers. These are things you can do on your own to help slow your heart rate. These things include coughing or pushing down like you are having a bowel movement. If vagal maneuvers don’t help slow your heart rate, your doctor may prescribe an anti-arrhythmic medicine. Sometimes, people must have their heart electrically shocked to bring the heartbeat back to normal. Your doctor will hold paddles against your chest for this procedure. For some people, surgery may also be an option. […] It is possible for WPW symptoms to disappear over time. For those who continue to experience symptoms, living with WPW can be frustrating. Unless you know your trigger, you can’t anticipate when your heartbeat will become rapid. And you don’t know how long it will stay that way. Having to have your heart shocked back to a normal beat can be stressful.
  • #13 WPW syndrome: Rare cause of sudden cardiac death in young people – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/wolff-parkinson-white-syndrome/diagnosis-treatment/drc-20354630
    To diagnose Wolff-Parkinson-White (WPW) syndrome, a healthcare professional examines you and listens to your heart with a device called a stethoscope. You usually are asked questions about your medical history and symptoms […] Our caring team of Mayo Clinic experts can help you with your Wolff-Parkinson-White (WPW) syndrome-related health concerns […] Treatment for Wolff-Parkinson-White (WPW) syndrome depends on: How often symptoms occur. How severe the symptoms are. The type of irregular heartbeat causing the fast heart rate. […] The goals of WPW syndrome treatment are to: Slow a fast heart rate when it occurs. Prevent future episodes. […] If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs.
  • #14 WPW syndrome: Rare cause of sudden cardiac death in young people – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/wolff-parkinson-white-syndrome/diagnosis-treatment/drc-20354630
    To diagnose Wolff-Parkinson-White (WPW) syndrome, a healthcare professional examines you and listens to your heart with a device called a stethoscope. You usually are asked questions about your medical history and symptoms […] Our caring team of Mayo Clinic experts can help you with your Wolff-Parkinson-White (WPW) syndrome-related health concerns […] Treatment for Wolff-Parkinson-White (WPW) syndrome depends on: How often symptoms occur. How severe the symptoms are. The type of irregular heartbeat causing the fast heart rate. […] The goals of WPW syndrome treatment are to: Slow a fast heart rate when it occurs. Prevent future episodes. […] If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs.
  • #15 Wolff-Parkinson-White syndrome | Great Ormond Street Hospital
    https://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/wolff-parkinson-white-syndrome/
    Wolff-Parkinson-White syndrome is a congenital (present at birth) condition that affects the electrical system within the heart. […] Wolff-Parkinson-White syndrome is the most common cause of abnormal heart rhythms (arrhythmia). […] The extra electrical connection causes episodes where the heart rate suddenly quickens to an abnormally fast rate, often around 200 beats per minute. […] The symptoms of SVT occur in episodes, which can last for a few seconds to a number of hours. […] Wolff-Parkinson-White syndrome has an increased risk of heart racing later in life and a small risk of sudden death. […] Wolff-Parkinson-White syndrome can be picked up on an ECG if a person has presented with symptoms to their GP or AE. […] Wolff-Parkinson-White syndrome is confirmed using an ECG, which shows abnormal rhythm during an episode.
  • #16 Diagnosis and therapy in Wolff-Parkinson-White (WPW) syndrome – Medizinonline
    https://medizinonline.com/en/diagnosis-and-therapy-in-wolff-parkinson-white-wpw-syndrome/
    In patients with WPW syndrome, orthodromic AV reentry tachycardia (regular narrow complex tachycardia) is most common, but antidromic AV reentry tachycardia (regular wide complex tachycardia) or atrial fibrillation with conduction across the pathway (irregular wide complex tachycardia) may rarely occur. […] The acute therapy of choice in patients with WPW syndrome and persistent symptomatic orthodromic AV reentry tachycardia (regular narrow complex tachycardia) is the performance of vagal maneuvers and, if they fail, parenteral administration of adenosine. […] The acute therapy of choice in patients with WPW syndrome and atrial fibrillation (irregular wide-complex tachycardia) in a hemodynamically unstable situation is electrocardioversion. […] Basic diagnostics should include history, physical examination, and a 12-lead sinus rhythm ECG to document preexcitation.
  • #17 Wolff-Parkinson-White syndrome | Great Ormond Street Hospital
    https://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/wolff-parkinson-white-syndrome/
    Wolff-Parkinson-White syndrome is a congenital (present at birth) condition that affects the electrical system within the heart. […] Wolff-Parkinson-White syndrome is the most common cause of abnormal heart rhythms (arrhythmia). […] The extra electrical connection causes episodes where the heart rate suddenly quickens to an abnormally fast rate, often around 200 beats per minute. […] The symptoms of SVT occur in episodes, which can last for a few seconds to a number of hours. […] Wolff-Parkinson-White syndrome has an increased risk of heart racing later in life and a small risk of sudden death. […] Wolff-Parkinson-White syndrome can be picked up on an ECG if a person has presented with symptoms to their GP or AE. […] Wolff-Parkinson-White syndrome is confirmed using an ECG, which shows abnormal rhythm during an episode.
  • #18 Wolff-Parkinson-White syndrome: Diagnostic and management strategies | Cleveland Clinic Journal of Medicine
    https://www.ccjm.org/content/92/2/119
    An unknown number of people are born with single or multiple accessory electrical pathways between the atria and the ventricles. […] The management challenge lies in those with WPW pattern but no symptoms. […] Catheter ablation has a class I (strong) recommendation in patients who have symptoms and the WPW pattern (WPW syndrome). […] The management challenge lies in those with WPW pattern but no symptoms. […] Noninvasive risk stratification can help guide the decision for catheter ablation. […] More electrophysiologists now than in the past may be performing electrophysiologic studies in patients with an asymptomatic WPW pattern regardless of noninvasive findings. […] In patients who remain asymptomatic and do not require ablation, observation with conservative management is an acceptable approach.
  • #19 WPW syndrome: Rare cause of sudden cardiac death in young people – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/wolff-parkinson-white-syndrome/symptoms-causes/syc-20354626
    In Wolff-Parkinson-White (WPW) syndrome, an extra electrical pathway between the heart’s upper chambers and lower chambers causes a fast heartbeat. […] Treatment of WPW syndrome may include special actions, medicines, a shock to the heart or a procedure to stop the irregular heartbeats. […] WPW syndrome has been linked to sudden cardiac death in children and young adults. […] Wolff-Parkinson-White (WPW) syndrome care at Mayo Clinic.
  • #20 Wolff-Parkinson-White syndrome: MedlinePlus GeneticsLock
    https://medlineplus.gov/genetics/condition/wolff-parkinson-white-syndrome/
    Wolff-Parkinson-White syndrome is a condition characterized by abnormal electrical pathways in the heart that cause a disruption of the heart’s normal rhythm (arrhythmia). […] Resulting symptoms include dizziness, a sensation of fluttering or pounding in the chest (palpitations), shortness of breath, and fainting (syncope). […] Complications of Wolff-Parkinson-White syndrome can occur at any age, although some individuals born with an accessory pathway in the heart never experience any health problems associated with the condition. […] Wolff-Parkinson-White syndrome often occurs with other structural abnormalities of the heart or underlying heart disease. […] The most common heart defect associated with the condition is Ebstein anomaly, which affects the valve that allows blood to flow from the right atrium to the right ventricle (the tricuspid valve).
  • #21 2012 PACES/HRS Expert Consensus Statement on the Management of the Asymptomatic Young Patient with a Wolff-Parkinson-White (WPW, Ventricular Preexcitation) Electrocardiographic Pattern – HRS
    https://www.hrsonline.org/guidance/clinical-resources/2012-management-asymptomatic-young-patient-wolff-parkinson-white
    The expert consensus statement provides first-of-its-kind clinical practice guidelines on the evaluation and management of asymptomatic young patients with a Wolff-Parkinson-White (WPW) electrocardiographic pattern. […] Patients with the WPW syndrome may have palpitations, dizziness, or fainting from an extra electrical pathway (circuit) in the heart. […] While catheter ablation is best to eliminate the risk of sudden death in the asymptomatic child with WPW, optimum management of these patients is unclear. […] The resulting consensus statement is directed at all health care professionals who treat young patients with WPW.
  • #22 Wolff-Parkinson-White syndrome: Diagnostic and management strategies | Cleveland Clinic Journal of Medicine
    https://www.ccjm.org/content/92/2/119
    An unknown number of people are born with single or multiple accessory electrical pathways between the atria and the ventricles. […] The management challenge lies in those with WPW pattern but no symptoms. […] Catheter ablation has a class I (strong) recommendation in patients who have symptoms and the WPW pattern (WPW syndrome). […] The management challenge lies in those with WPW pattern but no symptoms. […] Noninvasive risk stratification can help guide the decision for catheter ablation. […] More electrophysiologists now than in the past may be performing electrophysiologic studies in patients with an asymptomatic WPW pattern regardless of noninvasive findings. […] In patients who remain asymptomatic and do not require ablation, observation with conservative management is an acceptable approach.
  • #23 WPW syndrome: Rare cause of sudden cardiac death in young people – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/wolff-parkinson-white-syndrome/diagnosis-treatment/drc-20354630
    To diagnose Wolff-Parkinson-White (WPW) syndrome, a healthcare professional examines you and listens to your heart with a device called a stethoscope. You usually are asked questions about your medical history and symptoms […] Our caring team of Mayo Clinic experts can help you with your Wolff-Parkinson-White (WPW) syndrome-related health concerns […] Treatment for Wolff-Parkinson-White (WPW) syndrome depends on: How often symptoms occur. How severe the symptoms are. The type of irregular heartbeat causing the fast heart rate. […] The goals of WPW syndrome treatment are to: Slow a fast heart rate when it occurs. Prevent future episodes. […] If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs.
  • #24 WPW syndrome: Rare cause of sudden cardiac death in young people – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/wolff-parkinson-white-syndrome/diagnosis-treatment/drc-20354630
    To diagnose Wolff-Parkinson-White (WPW) syndrome, a healthcare professional examines you and listens to your heart with a device called a stethoscope. You usually are asked questions about your medical history and symptoms […] Our caring team of Mayo Clinic experts can help you with your Wolff-Parkinson-White (WPW) syndrome-related health concerns […] Treatment for Wolff-Parkinson-White (WPW) syndrome depends on: How often symptoms occur. How severe the symptoms are. The type of irregular heartbeat causing the fast heart rate. […] The goals of WPW syndrome treatment are to: Slow a fast heart rate when it occurs. Prevent future episodes. […] If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs.
  • #25 Wolff-Parkinson-White (WPW) syndrome | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/wolff-parkinson-white-wpw-syndrome?content_id=CON-20206635
    Wolff-Parkinson-White (WPW) syndrome is a heart condition present at birth. That means it’s a congenital heart defect. People with WPW syndrome have an extra pathway for signals to travel between the heart’s upper and lower chambers. This causes a fast heartbeat. Changes in the heartbeat can make it harder for the heart to work as it should. […] Treatment of WPW syndrome may include special actions, medicines, a shock to the heart or a procedure to stop the irregular heartbeats. […] Treatment for Wolff-Parkinson-White (WPW) syndrome depends on: How often symptoms occur. How severe the symptoms are. The type of irregular heartbeat causing the fast heart rate. […] People who have an extra signaling pathway but no symptoms, called WPW pattern, usually don’t need treatment. […] The goals of WPW syndrome treatment are to: Slow a fast heart rate when it occurs. Prevent future episodes.
  • #26 Wolff-Parkinson-White syndrome
    https://www.nhs.uk/conditions/wolff-parkinson-white-syndrome/
    Wolff-Parkinson-White (WPW) syndrome is a condition that causes the heart to beat abnormally fast for periods of time. […] WPW syndrome usually isn’t serious. […] With treatment, the condition can normally be completely cured. […] If you’ve been diagnosed with WPW syndrome and you experience an episode, first try the techniques you’ve been taught or take any medication you’ve been given. […] In many cases, episodes of abnormal heart activity associated with WPW syndrome are harmless, don’t last long, and settle down on their own without treatment. […] If your cardiologist recommends treatment, there are a number of options available. You can have treatment to either stop episodes when they occur, or prevent them occurring in the future. […] There are 3 main techniques and treatments that can help stop episodes as they occur. […] Techniques and treatments that can help prevent episodes include: […] Catheter ablation this procedure is commonly used nowadays to destroy the extra part of the heart causing the problems in the heart’s electrical system. It’s effective in around 95% of cases.
  • #27 Diagnosis and therapy in Wolff-Parkinson-White (WPW) syndrome – Medizinonline
    https://medizinonline.com/en/diagnosis-and-therapy-in-wolff-parkinson-white-wpw-syndrome/
    In patients with WPW syndrome, orthodromic AV reentry tachycardia (regular narrow complex tachycardia) is most common, but antidromic AV reentry tachycardia (regular wide complex tachycardia) or atrial fibrillation with conduction across the pathway (irregular wide complex tachycardia) may rarely occur. […] The acute therapy of choice in patients with WPW syndrome and persistent symptomatic orthodromic AV reentry tachycardia (regular narrow complex tachycardia) is the performance of vagal maneuvers and, if they fail, parenteral administration of adenosine. […] The acute therapy of choice in patients with WPW syndrome and atrial fibrillation (irregular wide-complex tachycardia) in a hemodynamically unstable situation is electrocardioversion. […] Basic diagnostics should include history, physical examination, and a 12-lead sinus rhythm ECG to document preexcitation.
  • #28 Wolff-Parkinson-White (WPW) Syndrome: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.wolff-parkinson-white-wpw-syndrome-care-instructions.abo7611
    If your doctor showed you how to do vagal maneuvers, try them when you have an episode. These maneuvers include bearing down or putting an ice-cold, wet towel on your face. […] Monitor your condition by keeping a diary of your WPW episodes. Bring this to your doctor appointments. […] If they trigger episodes, limit or avoid alcohol or drinks with caffeine. […] Do not use over-the-counter decongestants. They often contain ingredients that make your heart beat faster (stimulants). […] If you smoke, vape, or use other tobacco or nicotine products, try to quit. If you need help quitting, talk to your doctor about quit programs and medicines. These can increase your chances of quitting for good. […] Call 911 anytime you think you may need emergency care. For example, call if: You passed out (lost consciousness). You are short of breath. […] Call your doctor now or seek immediate medical care if: You have a fast heartbeat. You are dizzy or lightheaded, or you feel like you may faint. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.
  • #29 Wolff-Parkinson-White (WPW) syndrome | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/wolff-parkinson-white-wpw-syndrome?content_id=CON-20206635
    Treatment options may include: Vagal maneuvers. These are simple actions that can slow the heartbeat. […] Medicines. If vagal maneuvers don’t stop a fast heartbeat, you might need medicines to control the heart rate and restore the heart rhythm. […] Cardioversion. Paddles or patches on the chest are used to electrically shock the heart and help reset the heart rhythm. […] Catheter ablation. In this procedure, a doctor inserts one or more thin, flexible tubes called catheters into an artery, usually in the groin. The doctor guides them to the heart. Sensors on the tip of the catheters use heat or cold energy to create tiny scars in the heart. The scars block irregular electrical signals and restore the heart’s rhythm. […] If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle.
  • #30 Wolff-Parkinson-White syndrome
    https://www.nhs.uk/conditions/wolff-parkinson-white-syndrome/
    Wolff-Parkinson-White (WPW) syndrome is a condition that causes the heart to beat abnormally fast for periods of time. […] WPW syndrome usually isn’t serious. […] With treatment, the condition can normally be completely cured. […] If you’ve been diagnosed with WPW syndrome and you experience an episode, first try the techniques you’ve been taught or take any medication you’ve been given. […] In many cases, episodes of abnormal heart activity associated with WPW syndrome are harmless, don’t last long, and settle down on their own without treatment. […] If your cardiologist recommends treatment, there are a number of options available. You can have treatment to either stop episodes when they occur, or prevent them occurring in the future. […] There are 3 main techniques and treatments that can help stop episodes as they occur. […] Techniques and treatments that can help prevent episodes include: […] Catheter ablation this procedure is commonly used nowadays to destroy the extra part of the heart causing the problems in the heart’s electrical system. It’s effective in around 95% of cases.
  • #31 Diagnosis and therapy in Wolff-Parkinson-White (WPW) syndrome – Medizinonline
    https://medizinonline.com/en/diagnosis-and-therapy-in-wolff-parkinson-white-wpw-syndrome/
    In patients with atrial fibrillation and WPW syndrome, electrocardioversion must be performed if the situation is hemodynamically unstable. […] In hemodynamically stable conditions, pharmacologic therapy with a class Ic or class III antiarrhythmic agent may be attempted first. […] Since the 1990s, catheter ablation with radiofrequency energy has been available as a curative treatment for WPW syndrome. […] The success rate for permanent elimination of the pathway is over 95%, which also eliminates the risk of sudden cardiac death. […] Acute therapy in patients with persistent symptomatic AVRT consists of vagal maneuvers and, in the absence of conversion to sinus rhythm, parenteral administration of adenosine leading to termination of AVRT by a transient AV block. […] In addition to patients with WPW syndrome (preexcitation and symptomatic tachycardia), there is also a group of patients with asymptomatic preexcitation without tachycardia, in whom preexcitation is usually discovered by chance. […] If sudden loss of preexcitation occurs during this process at elevated heart rates, there is a low risk of sudden cardiac death because of the long refractory period and generally no further action is required.
  • #32 Diagnosis and therapy in Wolff-Parkinson-White (WPW) syndrome – Medizinonline
    https://medizinonline.com/en/diagnosis-and-therapy-in-wolff-parkinson-white-wpw-syndrome/
    In patients with atrial fibrillation and WPW syndrome, electrocardioversion must be performed if the situation is hemodynamically unstable. […] In hemodynamically stable conditions, pharmacologic therapy with a class Ic or class III antiarrhythmic agent may be attempted first. […] Since the 1990s, catheter ablation with radiofrequency energy has been available as a curative treatment for WPW syndrome. […] The success rate for permanent elimination of the pathway is over 95%, which also eliminates the risk of sudden cardiac death. […] Acute therapy in patients with persistent symptomatic AVRT consists of vagal maneuvers and, in the absence of conversion to sinus rhythm, parenteral administration of adenosine leading to termination of AVRT by a transient AV block. […] In addition to patients with WPW syndrome (preexcitation and symptomatic tachycardia), there is also a group of patients with asymptomatic preexcitation without tachycardia, in whom preexcitation is usually discovered by chance. […] If sudden loss of preexcitation occurs during this process at elevated heart rates, there is a low risk of sudden cardiac death because of the long refractory period and generally no further action is required.
  • #33 Wolff-Parkinson-White Syndrome Treatment & Management: Approach Considerations, Initial Management, Pharmacologic Therapy
    https://emedicine.medscape.com/article/159222-treatment
    Treatment of Wolff-Parkinson-White (WPW)-associated arrhythmias is directed at the underlying cause (through the use of radiofrequency [RF] ablation of the accessory pathway [AP], antiarrhythmic drugs in adults to slow AP conduction in certain situations (ie, Mahaim or atriofascicular pathway-mediated supraventricular tachycardia [SVT]; typically, atrioventricular [AV] nodal-conduction blocking medications are avoided in the acute setting of WPW), or AV nodal blocking medications to slow AV nodal conduction. […] Treatment must be individualized for each patient and should include individual risk assessment. Appropriate therapy for WPW syndrome is based on the likely prognosis and on the degree of symptoms the patient experiences. […] The two main treatment approaches to WPW syndrome are (1) pharmacotherapy and (2) EPS with RF catheter ablation. EPS with ablation is the first-line treatment for symptomatic WPW syndrome and for patients with high-risk occupations.
  • #34 Patient education: Wolff-Parkinson-White syndrome (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/wolff-parkinson-white-syndrome-beyond-the-basics
    Patient education: Wolff-Parkinson-White syndrome (Beyond the Basics) […] Wolff-Parkinson-White (WPW) syndrome is a condition in which episodes of fast heart rate (called tachycardia) occur because of an abnormal extra electrical pathway in the heart. […] Treatments are available for those who do experience symptoms. […] The long-term outcome of people with WPW is excellent, especially when treatments are used to eliminate the abnormal electrical pathway. […] People with WPW syndrome require treatment when or if they have an episode of tachycardia due to the serious potential risks of the tachycardia. Treatment focuses on stopping the tachycardia and preventing it from recurring. […] Radiofrequency catheter ablation of the accessory pathway is the treatment of choice for people with WPW syndrome.
  • #35 Wolff-Parkinson-White Syndrome Treatment & Management: Approach Considerations, Initial Management, Pharmacologic Therapy
    https://emedicine.medscape.com/article/159222-treatment
    Drug therapy can be useful in some instances, such as in patients who refuse RF ablation and in temporizing patients with a higher risk of ablation-related complications (eg, AV block with pacing requirement for anteroseptal or midseptal pathways). […] The best long-term plan is to not use drugs at all. All patients who have symptomatic WPW syndrome should be referred for electrophysiologic studies (EPS) and considered for ablation, which has a very high cure rate and a low complication rate. […] Patients with WPW syndrome need to continue antiarrhythmic therapy as prescribed. If symptoms related to tachyarrhythmias recur, patients should inform their physicians. […] Patients who undergo EPS with RF ablation may require monitoring of wound care after hospital discharge. Further follow-up care to assess for the recurrence of dysrhythmia is also needed.
  • #36 Patient education: Wolff-Parkinson-White syndrome (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/wolff-parkinson-white-syndrome-beyond-the-basics
    When performed by experienced specialists, ablation cures the WPW syndrome over 95 percent of the time. […] Some people have multiple accessory pathways that need to be ablated. […] Occasionally, the accessory pathway can recover from the ablation, and the ablation procedure needs to be repeated. […] Medications can prevent recurrences of tachycardia in some people with WPW, but they are usually used only in people who are not candidates for ablation or surgery.
  • #37 Wolff-Parkinson-White (WPW) syndrome | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/wolff-parkinson-white-wpw-syndrome?content_id=CON-20206635
    Treatment options may include: Vagal maneuvers. These are simple actions that can slow the heartbeat. […] Medicines. If vagal maneuvers don’t stop a fast heartbeat, you might need medicines to control the heart rate and restore the heart rhythm. […] Cardioversion. Paddles or patches on the chest are used to electrically shock the heart and help reset the heart rhythm. […] Catheter ablation. In this procedure, a doctor inserts one or more thin, flexible tubes called catheters into an artery, usually in the groin. The doctor guides them to the heart. Sensors on the tip of the catheters use heat or cold energy to create tiny scars in the heart. The scars block irregular electrical signals and restore the heart’s rhythm. […] If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle.
  • #38 Patient education: Wolff-Parkinson-White syndrome (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/wolff-parkinson-white-syndrome-beyond-the-basics
    When performed by experienced specialists, ablation cures the WPW syndrome over 95 percent of the time. […] Some people have multiple accessory pathways that need to be ablated. […] Occasionally, the accessory pathway can recover from the ablation, and the ablation procedure needs to be repeated. […] Medications can prevent recurrences of tachycardia in some people with WPW, but they are usually used only in people who are not candidates for ablation or surgery.
  • #39 Wolff-Parkinson-White (WPW) Syndrome | Doctor
    https://patient.info/doctor/wolff-parkinson-white-syndrome-pro
    RF ablation is increasingly being used both in common types of arrhythmia and selected asymptomatic patients, with a 95% success rate. […] Indications for RF ablation include: Patients with symptomatic AV re-entrant tachycardia. […] Although largely superseded by RF ablation, surgical ablation may still be indicated for patients in whom RF ablation has failed, those who need heart surgery for other reasons and for those patients with multifocal abnormalities requiring surgical ablation (rare).
  • #40 Diagnosis and therapy in Wolff-Parkinson-White (WPW) syndrome – Medizinonline
    https://medizinonline.com/en/diagnosis-and-therapy-in-wolff-parkinson-white-wpw-syndrome/
    In patients with atrial fibrillation and WPW syndrome, electrocardioversion must be performed if the situation is hemodynamically unstable. […] In hemodynamically stable conditions, pharmacologic therapy with a class Ic or class III antiarrhythmic agent may be attempted first. […] Since the 1990s, catheter ablation with radiofrequency energy has been available as a curative treatment for WPW syndrome. […] The success rate for permanent elimination of the pathway is over 95%, which also eliminates the risk of sudden cardiac death. […] Acute therapy in patients with persistent symptomatic AVRT consists of vagal maneuvers and, in the absence of conversion to sinus rhythm, parenteral administration of adenosine leading to termination of AVRT by a transient AV block. […] In addition to patients with WPW syndrome (preexcitation and symptomatic tachycardia), there is also a group of patients with asymptomatic preexcitation without tachycardia, in whom preexcitation is usually discovered by chance. […] If sudden loss of preexcitation occurs during this process at elevated heart rates, there is a low risk of sudden cardiac death because of the long refractory period and generally no further action is required.
  • #41 Wolff Parkinson White (WPW) syndrome: what the critical care nurse needs to consider when administering antiarrhythmics – PubMed
    https://pubmed.ncbi.nlm.nih.gov/11899759/
    This paper discusses the importance of critical care and emergency nurses having an understanding of why pre-existing cardiac disorders can influence antiarrhythmic treatment. […] The patient with a pre-excitation syndrome is usually managed in a coronary care unit. However, these patients may be admitted to an intensive care unit (ICU) with complications of Wolff Parkinson White (WPW) syndrome; for example post cardiopulmonary arrest or WPW as a co-morbidity. […] Therefore, the critical care nurse must have knowledge of the implications of administering standard antiarrhythmic agents if this patient reverts into a tachyarrhythmia. […] If antiarrhythmics are administered that are contraindicated in patients with WPW syndrome, then there is potential for deleterious effects. […] The paper outlines the correct treatment and discusses the deleterious effects of incorrect administration of drugs in WPW syndrome.
  • #42
    https://www.singhealth.com.sg/patient-care/conditions-treatments/wolff-parkinson-white-syndrome-wpw
    Wolff-Parkinson-White (WPW) Syndrome is a genetic heart condition where there is an extra electrical pathway (circuit) in the heart; leading to abnormal conduction of electrical impulse from the atrial to the ventricles, causing episodes of rapid heart rate. […] Catheter ablation offers a cure for WPW syndrome. In this minimally invasive procedure, a catheter is advanced from the groin to the heart. The exact site of the accessory pathway and radiofrequency energy is delivered to eliminate this accessory pathway. […] The nurse will instruct you to rest in bed for about 8 to 12 hours. You can have food and drinks, on returning back to the ward. The nurse will monitor the pulse rate hourly and blood pressure 4 hourly for 24 hours. A telemetry (ECG monitoring device) will be put on when necessary. An intravenous drip may be started and oral medication may be given on return to the ward. Call the nurse or doctor if there is bleeding from the groin.
  • #43
    https://www.nccs.com.sg/patient-care/conditions-treatments/wolff-parkinson-white-syndrome-wpw
    Wolff-Parkinson-White (WPW) Syndrome is a genetic heart condition where there is an extra electrical pathway (circuit) in the heart; leading to abnormal conduction of electrical impulse from the atrial to the ventricles, causing episodes of rapid heart rate. […] The nurse will instruct you to rest in bed for about 8 to 12 hours. You can have food and drinks, on returning back to the ward. The nurse will monitor the pulse rate hourly and blood pressure 4 hourly for 24 hours. A telemetry (ECG monitoring device) will be put on when necessary. An intravenous drip may be started and oral medication may be given on return to the ward. Call the nurse or doctor if there is bleeding from the groin.
  • #44
    https://www.cgh.com.sg/patient-care/conditions-treatments/wolff-parkinson-white-syndrome-wpw
    The nurse will instruct you to rest in bed for about 8 to 12 hours. You can have food and drinks, on returning back to the ward. The nurse will monitor the pulse rate hourly and blood pressure 4 hourly for 24 hours. A telemetry (ECG monitoring device) will be put on when necessary. An intravenous drip may be started and oral medication may be given on return to the ward. Call the nurse or doctor if there is bleeding from the groin.
  • #45
    https://journals.lww.com/ijcn/fulltext/2024/01000/a_case_report_on_wolff_parkinson_white_syndrome_in.4.aspx
    WolffParkinsonWhite syndrome (WPWS) is a rare congenital pre-excitation syndrome characterised by the presence of an accessory pathway that predisposes to tachyarrhythmia and sudden death. […] Both pregnancy and the WPWS aggravate each others tendency to produce arrhythmias. Adequate preparation with fluid preloading and positioning, securing appropriate drugs and emergency equipment, avoidance of tachyarrhythmia and prompt treatment on occurrence is required for the safety of both the mother and the foetus. […] Awareness, detection and management of these arrhythmias are thus the main focus of the management of such patients. […] In pregnancy, the treatment for SVT is complicated due to changes in physiology and foetal concern and is based on a number of factors which include the gestational age, signs and symptoms and haemodynamic status.
  • #46
    https://www.nccs.com.sg/patient-care/conditions-treatments/wolff-parkinson-white-syndrome-wpw
    Wolff-Parkinson-White (WPW) Syndrome is a genetic heart condition where there is an extra electrical pathway (circuit) in the heart; leading to abnormal conduction of electrical impulse from the atrial to the ventricles, causing episodes of rapid heart rate. […] The nurse will instruct you to rest in bed for about 8 to 12 hours. You can have food and drinks, on returning back to the ward. The nurse will monitor the pulse rate hourly and blood pressure 4 hourly for 24 hours. A telemetry (ECG monitoring device) will be put on when necessary. An intravenous drip may be started and oral medication may be given on return to the ward. Call the nurse or doctor if there is bleeding from the groin.
  • #47
    https://www.cgh.com.sg/patient-care/conditions-treatments/wolff-parkinson-white-syndrome-wpw
    The nurse will instruct you to rest in bed for about 8 to 12 hours. You can have food and drinks, on returning back to the ward. The nurse will monitor the pulse rate hourly and blood pressure 4 hourly for 24 hours. A telemetry (ECG monitoring device) will be put on when necessary. An intravenous drip may be started and oral medication may be given on return to the ward. Call the nurse or doctor if there is bleeding from the groin.
  • #48
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abo7611
    Wolff-Parkinson-White (WPW) syndrome is a heart rhythm problem that causes a very fast heart rate. It happens because you have an extra electrical pathway in your heart. WPW is a congenital heart problem. This means you were born with the problem. […] Your doctor may prescribe medicines to help slow down your heartbeat. Your doctor may also suggest you try vagal manoeuvres when having an episode of WPW. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] Be safe with medicines. Take your medicines exactly as prescribed. […] If your doctor showed you how to do vagal manoeuvres, try them when you have an episode. […] Monitor your condition by keeping a diary of your WPW episodes.
  • #49 Wolff-Parkinson-White (WPW) Syndrome: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.wolff-parkinson-white-wpw-syndrome-care-instructions.abo7611
    Wolff-Parkinson-White (WPW) syndrome is a heart rhythm problem that causes a very fast heart rate. It happens because you have an extra electrical pathway in your heart. WPW is a congenital heart problem. This means you were born with it. […] Your doctor may prescribe medicines to help slow down your heartbeat. Your doctor may also suggest you try vagal maneuvers when having an episode of WPW. These are things that might help slow your heart rate. Your doctor can show you how to do vagal maneuvers. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.
  • #50
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abo7611
    Wolff-Parkinson-White (WPW) syndrome is a heart rhythm problem that causes a very fast heart rate. It happens because you have an extra electrical pathway in your heart. WPW is a congenital heart problem. This means you were born with the problem. […] Your doctor may prescribe medicines to help slow down your heartbeat. Your doctor may also suggest you try vagal manoeuvres when having an episode of WPW. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] Be safe with medicines. Take your medicines exactly as prescribed. […] If your doctor showed you how to do vagal manoeuvres, try them when you have an episode. […] Monitor your condition by keeping a diary of your WPW episodes.
  • #51 Wolff-Parkinson-White (WPW) Syndrome: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.wolff-parkinson-white-wpw-syndrome-care-instructions.abo7611
    If your doctor showed you how to do vagal maneuvers, try them when you have an episode. These maneuvers include bearing down or putting an ice-cold, wet towel on your face. […] Monitor your condition by keeping a diary of your WPW episodes. Bring this to your doctor appointments. […] If they trigger episodes, limit or avoid alcohol or drinks with caffeine. […] Do not use over-the-counter decongestants. They often contain ingredients that make your heart beat faster (stimulants). […] If you smoke, vape, or use other tobacco or nicotine products, try to quit. If you need help quitting, talk to your doctor about quit programs and medicines. These can increase your chances of quitting for good. […] Call 911 anytime you think you may need emergency care. For example, call if: You passed out (lost consciousness). You are short of breath. […] Call your doctor now or seek immediate medical care if: You have a fast heartbeat. You are dizzy or lightheaded, or you feel like you may faint. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.
  • #52 Wolff-Parkinson-White (WPW) syndrome // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/wolff-parkinson-white-wpw-syndrome
    If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. Take these steps: Do not smoke. Eat a healthy diet. Get regular exercise. Limit or avoid alcohol. Avoid caffeine or other stimulants. Maintain a healthy weight. Manage emotional stress. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs. Ask your healthcare professional: How to take your pulse and what heart rate is best for you. When and how to use vagal maneuvers, if appropriate. When to make an appointment for a health checkup. When to seek emergency care. […] If you have WPW syndrome, you may be referred to a doctor trained in heart problems present at birth. This type of healthcare professional is called a congenital cardiologist.
  • #53
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abo7611
    If they trigger episodes, limit or avoid alcohol or drinks with caffeine. […] Do not smoke. Smoking can make this condition worse. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have a fast heartbeat. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected.
  • #54 Wolff-Parkinson-White (WPW) Syndrome: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.wolff-parkinson-white-wpw-syndrome-care-instructions.abo7611
    If your doctor showed you how to do vagal maneuvers, try them when you have an episode. These maneuvers include bearing down or putting an ice-cold, wet towel on your face. […] Monitor your condition by keeping a diary of your WPW episodes. Bring this to your doctor appointments. […] If they trigger episodes, limit or avoid alcohol or drinks with caffeine. […] Do not use over-the-counter decongestants. They often contain ingredients that make your heart beat faster (stimulants). […] If you smoke, vape, or use other tobacco or nicotine products, try to quit. If you need help quitting, talk to your doctor about quit programs and medicines. These can increase your chances of quitting for good. […] Call 911 anytime you think you may need emergency care. For example, call if: You passed out (lost consciousness). You are short of breath. […] Call your doctor now or seek immediate medical care if: You have a fast heartbeat. You are dizzy or lightheaded, or you feel like you may faint. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.
  • #55 Wolff Parkinson White (WPW) syndrome: what the critical care nurse needs to consider when administering antiarrhythmics – PubMed
    https://pubmed.ncbi.nlm.nih.gov/11899759/
    This paper discusses the importance of critical care and emergency nurses having an understanding of why pre-existing cardiac disorders can influence antiarrhythmic treatment. […] The patient with a pre-excitation syndrome is usually managed in a coronary care unit. However, these patients may be admitted to an intensive care unit (ICU) with complications of Wolff Parkinson White (WPW) syndrome; for example post cardiopulmonary arrest or WPW as a co-morbidity. […] Therefore, the critical care nurse must have knowledge of the implications of administering standard antiarrhythmic agents if this patient reverts into a tachyarrhythmia. […] If antiarrhythmics are administered that are contraindicated in patients with WPW syndrome, then there is potential for deleterious effects. […] The paper outlines the correct treatment and discusses the deleterious effects of incorrect administration of drugs in WPW syndrome.
  • #56 Wolff-Parkinson-White syndrome (WPW) Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/wolff-parkinson-white-syndrome-wpw
    Medicines, particularly antiarrhythmic drugs such as procainamide or amiodarone, may be used to control or prevent a rapid heartbeat. […] The long-term treatment for WPW syndrome is very often catheter ablation. This procedure involves inserting a tube (catheter) into a vein through a small cut near the groin up to the heart area. […] Catheter ablation cures this disorder in most people. The success rate for the procedure ranges between 85% to 95%. […] Complications may include: Complications of surgery, Heart failure, Reduced blood pressure (caused by rapid heart rate), Side effects of medicines. […] Contact your provider if: You have symptoms of WPW syndrome. You have this disorder and symptoms get worse or do not improve with treatment.
  • #57 Wolff Parkinson White Syndrome – The Cardiology Advisor
    https://www.thecardiologyadvisor.com/ddi/wolff-parkinson-white-syndrome/
    Wolff Parkinson White syndrome patients who are asymptomatic typically do not require immediate treatment. Evaluation by a cardiologist or electrophysiologist can help to identify higher risk, asymptomatic patients. These higher risk patients are candidates for catheter ablation of the accessory pathway and preventive antiarrhythmic treatment as further described below. WPW syndrome patients who are symptomatic are typically treated with catheter ablation. Catheter ablation is the first-line treatment because it is less invasive than surgical ablation. […] Medical management is reserved for those who are poor candidates for catheter ablation and include flecainide and propafenone, among other medications. Patients with an acute episode of tachyarrhythmia are managed according to the 2010 American Heart Association guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care algorithm. Avoiding AV node blocking medications such as calcium channel blockers and beta blockers is essential as these medications can exacerbate symptoms.
  • #58 Wolff-Parkinson-White syndrome (WPW): MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000151.htm
    Wolff-Parkinson-White (WPW) syndrome is a condition in which there is an extra electrical pathway in the heart that leads to periods of rapid heart rate (tachycardia). […] WPW syndrome is one of the most common causes of fast heart rate problems in infants and children. […] A person with this syndrome may have: Chest pain or chest tightness, Dizziness, Lightheadedness, Fainting, Palpitations (a sensation of feeling your heart beating, usually quickly or irregularly), Shortness of breath. […] Medicines, particularly antiarrhythmic drugs such as procainamide or amiodarone, may be used to control or prevent a rapid heartbeat. […] The long-term treatment for WPW syndrome is very often catheter ablation. […] Catheter ablation cures this disorder in most people. […] The success rate for the procedure ranges between 85% to 95%. […] Contact your provider if: You have symptoms of WPW syndrome. […] You have this disorder and symptoms get worse or do not improve with treatment.
  • #59 Wolff-Parkinson-White (WPW) Syndrome: Symptoms and Causes
    https://lonestarneurology.net/blog/wolff-parkinson-white-syndrome/
    Wolff-Parkinson-White syndrome is a violation of the process of excitation of the ventricles, in which there is an increase in the heart rate. […] Symptoms of Wolff-Parkinson-White syndrome include a sudden attack of palpitations, interruptions in the work of the heart, throbbing in the head or throat, general weakness, dizziness, decreased exercise tolerance, and increased fatigue during an attack, loss of consciousness is possible, dyspnea, and decrease in blood pressure. […] Initial care for an episode of orthodromic AVRT consists of vagal techniques: Vagus tests: Valsalva test, massage of the carotid sinus, cough and vomiting reflexes, and putting ice pieces on the face. […] If a patient has Wolff-Parkinson-White (WPW) syndrome, the physician may choose not to use adenosine because it can induce AF; you can use propafenone or procainamide instead.
  • #60 Wolff-Parkinson-White Syndrome Treatment & Management: Approach Considerations, Initial Management, Pharmacologic Therapy
    https://emedicine.medscape.com/article/159222-treatment
    Drug therapy can be useful in some instances, such as in patients who refuse RF ablation and in temporizing patients with a higher risk of ablation-related complications (eg, AV block with pacing requirement for anteroseptal or midseptal pathways). […] The best long-term plan is to not use drugs at all. All patients who have symptomatic WPW syndrome should be referred for electrophysiologic studies (EPS) and considered for ablation, which has a very high cure rate and a low complication rate. […] Patients with WPW syndrome need to continue antiarrhythmic therapy as prescribed. If symptoms related to tachyarrhythmias recur, patients should inform their physicians. […] Patients who undergo EPS with RF ablation may require monitoring of wound care after hospital discharge. Further follow-up care to assess for the recurrence of dysrhythmia is also needed.
  • #61 Wolff Parkinson White Syndrome – The Cardiology Advisor
    https://www.thecardiologyadvisor.com/ddi/wolff-parkinson-white-syndrome/
    Catheter ablation procedures carry the risk of adverse events including the commonly cited AV block. Other serious complications include death, esophageal perforation, heart block requiring a pacemaker, stroke, phrenic nerve injury, and vascular access complications. […] The main adverse effects are cardiac toxicity and an increased incidence of mortality which can occur due to the medications proarrhythmic effects. Flecainide is contraindicated with known hypersensitivity to flecainide, structural heart disease, and documented second or third-degree AV block, among others. The medication should be used with caution in patients who have myocardial dysfunction, heart failure, QT prolongation, electrolyte abnormalities, and those with a pacemaker. […] Drugs to avoid in Wolff Parkinson White syndrome are AV node blocking medications such as adenosine, calcium channel blockers, and beta blockers because these medications can exacerbate the associated arrhythmias.
  • #62 Wolff-Parkinson-White (WPW) Syndrome: Symptoms and Causes
    https://lonestarneurology.net/blog/wolff-parkinson-white-syndrome/
    In patients with tachycardia with WPW syndrome, drugs acting on the AV node should not be used. […] Catheter ablation (Radiofrequency Ablation or RFA) for treatment of Wolff-Parkinson-White syndrome has a primary efficacy of approximately 95%. […] The need for endo-EPI and RFA in this group of patients is controversial. […] There is no specific prevention of the disease. If an ECG reveals WPW syndrome in a patient, they should be regularly examined by a cardiologist. […] If signs of pathology appear, you need to choose the right treatment immediately.
  • #63 Wolff-Parkinson-White (WPW) Syndrome | Doctor
    https://patient.info/doctor/wolff-parkinson-white-syndrome-pro
    WPW syndrome is a congenital abnormality which can result in supraventricular tachycardia (SVT) that uses an atrioventricular (AV) accessory tract. […] The main forms of treatment are drug therapy, radiofrequency (RF) ablation and surgical ablation. […] Accessory pathway RF catheter ablation is the first-line treatment for symptomatic WPW syndrome. […] Asymptomatic patients may just need periodic review, but should be clearly told to seek urgent medical help if they experience palpitations or syncope. […] Patients who present with tachyarrhythmic symptoms may require drug therapy to prevent further episodes and while awaiting definitive treatment – this may also be a long-term option for those in whom ablation or surgery are contraindicated, or not wanted. […] Digoxin is contra-indicated in patients with WPW syndrome. Most deaths from WPW syndrome have been associated with digoxin use.
  • #64
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abo7672
    Monitor your child’s condition by keeping a diary of their episodes. […] Do not give your child over-the-counter decongestants. They often contain ingredients that make the heart beat faster (stimulants). […] Call your doctor or nurse advice line now or seek immediate medical care if: Your child has a fast heartbeat. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if: Your child does not get better as expected.
  • #65 Wolff Parkinson White (WPW) syndrome: what the critical care nurse needs to consider when administering antiarrhythmics – PubMed
    https://pubmed.ncbi.nlm.nih.gov/11899759/
    This paper discusses the importance of critical care and emergency nurses having an understanding of why pre-existing cardiac disorders can influence antiarrhythmic treatment. […] The patient with a pre-excitation syndrome is usually managed in a coronary care unit. However, these patients may be admitted to an intensive care unit (ICU) with complications of Wolff Parkinson White (WPW) syndrome; for example post cardiopulmonary arrest or WPW as a co-morbidity. […] Therefore, the critical care nurse must have knowledge of the implications of administering standard antiarrhythmic agents if this patient reverts into a tachyarrhythmia. […] If antiarrhythmics are administered that are contraindicated in patients with WPW syndrome, then there is potential for deleterious effects. […] The paper outlines the correct treatment and discusses the deleterious effects of incorrect administration of drugs in WPW syndrome.
  • #66 Wolff-Parkinson-White Syndrome Treatment & Management: Approach Considerations, Initial Management, Pharmacologic Therapy
    https://emedicine.medscape.com/article/159222-treatment
    Drug therapy can be useful in some instances, such as in patients who refuse RF ablation and in temporizing patients with a higher risk of ablation-related complications (eg, AV block with pacing requirement for anteroseptal or midseptal pathways). […] The best long-term plan is to not use drugs at all. All patients who have symptomatic WPW syndrome should be referred for electrophysiologic studies (EPS) and considered for ablation, which has a very high cure rate and a low complication rate. […] Patients with WPW syndrome need to continue antiarrhythmic therapy as prescribed. If symptoms related to tachyarrhythmias recur, patients should inform their physicians. […] Patients who undergo EPS with RF ablation may require monitoring of wound care after hospital discharge. Further follow-up care to assess for the recurrence of dysrhythmia is also needed.
  • #67
    https://www.singhealth.com.sg/patient-care/conditions-treatments/wolff-parkinson-white-syndrome-wpw
    Wolff-Parkinson-White (WPW) Syndrome is a genetic heart condition where there is an extra electrical pathway (circuit) in the heart; leading to abnormal conduction of electrical impulse from the atrial to the ventricles, causing episodes of rapid heart rate. […] Catheter ablation offers a cure for WPW syndrome. In this minimally invasive procedure, a catheter is advanced from the groin to the heart. The exact site of the accessory pathway and radiofrequency energy is delivered to eliminate this accessory pathway. […] The nurse will instruct you to rest in bed for about 8 to 12 hours. You can have food and drinks, on returning back to the ward. The nurse will monitor the pulse rate hourly and blood pressure 4 hourly for 24 hours. A telemetry (ECG monitoring device) will be put on when necessary. An intravenous drip may be started and oral medication may be given on return to the ward. Call the nurse or doctor if there is bleeding from the groin.
  • #68
    https://www.cgh.com.sg/patient-care/conditions-treatments/wolff-parkinson-white-syndrome-wpw
    The nurse will instruct you to rest in bed for about 8 to 12 hours. You can have food and drinks, on returning back to the ward. The nurse will monitor the pulse rate hourly and blood pressure 4 hourly for 24 hours. A telemetry (ECG monitoring device) will be put on when necessary. An intravenous drip may be started and oral medication may be given on return to the ward. Call the nurse or doctor if there is bleeding from the groin.
  • #69
    https://www.nccs.com.sg/patient-care/conditions-treatments/wolff-parkinson-white-syndrome-wpw
    Wolff-Parkinson-White (WPW) Syndrome is a genetic heart condition where there is an extra electrical pathway (circuit) in the heart; leading to abnormal conduction of electrical impulse from the atrial to the ventricles, causing episodes of rapid heart rate. […] The nurse will instruct you to rest in bed for about 8 to 12 hours. You can have food and drinks, on returning back to the ward. The nurse will monitor the pulse rate hourly and blood pressure 4 hourly for 24 hours. A telemetry (ECG monitoring device) will be put on when necessary. An intravenous drip may be started and oral medication may be given on return to the ward. Call the nurse or doctor if there is bleeding from the groin.
  • #70 Wolff-Parkinson-White Syndrome Treatment & Management: Approach Considerations, Initial Management, Pharmacologic Therapy
    https://emedicine.medscape.com/article/159222-treatment
    Drug therapy can be useful in some instances, such as in patients who refuse RF ablation and in temporizing patients with a higher risk of ablation-related complications (eg, AV block with pacing requirement for anteroseptal or midseptal pathways). […] The best long-term plan is to not use drugs at all. All patients who have symptomatic WPW syndrome should be referred for electrophysiologic studies (EPS) and considered for ablation, which has a very high cure rate and a low complication rate. […] Patients with WPW syndrome need to continue antiarrhythmic therapy as prescribed. If symptoms related to tachyarrhythmias recur, patients should inform their physicians. […] Patients who undergo EPS with RF ablation may require monitoring of wound care after hospital discharge. Further follow-up care to assess for the recurrence of dysrhythmia is also needed.
  • #71
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abo7672
    Wolff-Parkinson-White (WPW) syndrome is a heart rhythm problem that causes a very fast heart rate. It happens because your child has an extra electrical pathway in the heart. WPW is a congenital heart problem. This means your child was born with the problem. […] Your child’s doctor may prescribe medicines to help slow down your child’s heartbeat. Your doctor may also suggest that your child try vagal manoeuvres when having an episode of WPW. […] In some cases, a procedure called catheter ablation can correct WPW. […] Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if your child is having problems. […] Be safe with medicines. Have your child take medicines exactly as prescribed. […] If the doctor showed you and your child how to do vagal manoeuvres, your child can try them during an episode.
  • #72 Get Wolff-Parkinson-White Syndrome Treatment | Cleveland Clinic Children’s
    https://my.clevelandclinic.org/pediatrics/services/wolff-parkinson-white-syndrome-treatment
    Wolff-Parkinson-White (WPW) syndrome is a rare congenital (born with it) condition that causes the electrical signals in your childs heart to travel a different way. This change can cause an arrhythmia, making their heart beat too fast. […] Cleveland Clinic Childrens cardiology experts specialize in diagnosing WPW and other congenital heart conditions in children and young adults. […] Our expert pediatric cardiology providers have advanced training and years of experience in treating congenital heart conditions like WPW. They use the latest treatments to diagnose and care for your child. […] Your family plays a big part in your childs healthcare and well-being. Thats why we use a family-centered approach in all we do. Your childs care team listens to your concerns, answers your questions and keeps you in the loop at each step from diagnosis to recovery and beyond.
  • #73 Get Wolff-Parkinson-White Syndrome Treatment | Cleveland Clinic Children’s
    https://my.clevelandclinic.org/pediatrics/services/wolff-parkinson-white-syndrome-treatment
    Wolff-Parkinson-White (WPW) syndrome is a rare congenital (born with it) condition that causes the electrical signals in your childs heart to travel a different way. This change can cause an arrhythmia, making their heart beat too fast. […] Cleveland Clinic Childrens cardiology experts specialize in diagnosing WPW and other congenital heart conditions in children and young adults. […] Our expert pediatric cardiology providers have advanced training and years of experience in treating congenital heart conditions like WPW. They use the latest treatments to diagnose and care for your child. […] Your family plays a big part in your childs healthcare and well-being. Thats why we use a family-centered approach in all we do. Your childs care team listens to your concerns, answers your questions and keeps you in the loop at each step from diagnosis to recovery and beyond.
  • #74 Get Wolff-Parkinson-White Syndrome Treatment | Cleveland Clinic Children’s
    https://my.clevelandclinic.org/pediatrics/services/wolff-parkinson-white-syndrome-treatment
    If your child is born with WPW, a rare congenital heart condition, it means they have an extra wire (or pathway) connecting the top of their heart (atria) to the bottom of their heart (ventricles). […] Symptoms play a big part in confirming a diagnosis. Your childs healthcare provider will ask you what symptoms theyre having, how long theyve had them and how theyre feeling. […] Your child may not need treatment, especially if they dont have ongoing symptoms. But if they have a constantly rapid heart rate and dizziness, fainting and shortness of breath their provider may recommend one or a combination of treatments, like: […] Our pediatric cardiology experts use catheter ablation, a type of ablation therapy, to „destroy” the abnormal pathway. […] Treatment like radiofrequency ablation often solves the problem. If not, your childs provider may recommend managing symptoms with vagal maneuvers, and/or medications. […] Arrhythmias caused by Wolff-Parkinson-White syndrome are treatable. And the pediatric cardiology providers at Cleveland Clinic Childrens are here to help.
  • #75 Wolff-Parkinson-White Syndrome (WPW) | UpBeat.org – powered by the Heart Rhythm Society
    https://upbeat.org/pediatrics/wolff-parkinson-white-syndrome-wpw
    Wolff-Parkinson-White (WPW) syndrome is an abnormality of the heart’s electrical conduction system which can be associated with supraventricular tachycardia (SVT). […] Symptoms of Wolff-Parkinson-White syndrome are the result of a fast heart rate. Common symptoms of WPW syndrome include: […] Most people who have an extra electrical pathway in the heart experience no fast heartbeat and no symptoms. This condition, called asymptomatic WPW, is usually discovered by chance when a person is undergoing a heart exam for other reasons. […] Treatment may include medication to prevent SVT. In babies, medication is given to prevent SVT for the first year. Up to 2/3 of babies will „outgrow” WPW when diagnosed at an early age (in the first year of life) and will not require further treatment. […] Until a patients WPW has been fully evaluated, patients may have some restrictions on vigorous exercise, which is determined by the electrophysiologist or cardiologist caring for the patient.
  • #76 Wolff-Parkinson-White Syndrome (WPW) | UpBeat.org – powered by the Heart Rhythm Society
    https://upbeat.org/pediatrics/wolff-parkinson-white-syndrome-wpw
    Wolff-Parkinson-White (WPW) syndrome is an abnormality of the heart’s electrical conduction system which can be associated with supraventricular tachycardia (SVT). […] Symptoms of Wolff-Parkinson-White syndrome are the result of a fast heart rate. Common symptoms of WPW syndrome include: […] Most people who have an extra electrical pathway in the heart experience no fast heartbeat and no symptoms. This condition, called asymptomatic WPW, is usually discovered by chance when a person is undergoing a heart exam for other reasons. […] Treatment may include medication to prevent SVT. In babies, medication is given to prevent SVT for the first year. Up to 2/3 of babies will „outgrow” WPW when diagnosed at an early age (in the first year of life) and will not require further treatment. […] Until a patients WPW has been fully evaluated, patients may have some restrictions on vigorous exercise, which is determined by the electrophysiologist or cardiologist caring for the patient.
  • #77
    https://journals.lww.com/ijcn/fulltext/2024/01000/a_case_report_on_wolff_parkinson_white_syndrome_in.4.aspx
    WolffParkinsonWhite syndrome (WPWS) is a rare congenital pre-excitation syndrome characterised by the presence of an accessory pathway that predisposes to tachyarrhythmia and sudden death. […] Both pregnancy and the WPWS aggravate each others tendency to produce arrhythmias. Adequate preparation with fluid preloading and positioning, securing appropriate drugs and emergency equipment, avoidance of tachyarrhythmia and prompt treatment on occurrence is required for the safety of both the mother and the foetus. […] Awareness, detection and management of these arrhythmias are thus the main focus of the management of such patients. […] In pregnancy, the treatment for SVT is complicated due to changes in physiology and foetal concern and is based on a number of factors which include the gestational age, signs and symptoms and haemodynamic status.
  • #78
    https://journals.lww.com/ijcn/fulltext/2024/01000/a_case_report_on_wolff_parkinson_white_syndrome_in.4.aspx
    Monitoring foetal heart rate during maternal cardioversion is advisable, due to the risk of developing foetal bradycardia during or after the procedure and requiring for an emergency caesarean section. […] Adequate preparation with fluid preloading and positioning, securing appropriate drugs and emergency equipment, avoidance of tachyarrhythmia and prompt treatment on occurrence is required for the safety of both the mother and the foetus. […] The patient will demonstrate adequate coronary perfusion and behaviours that reduce the workload of the heart. […] The patient will verbalise relief of chest pain and reduction of pain score to acceptable range. […] The patient will maintain normal tissue perfusion as evidenced by normal foetal heart rate and uninterrupted foetal/uterine tissue perfusion. […] This case report should prompt the midwives to establish a rapid diagnosis to provide effective treatment of the WPW syndrome and the underlying disease process.
  • #79
    https://journals.lww.com/ijcn/fulltext/2024/01000/a_case_report_on_wolff_parkinson_white_syndrome_in.4.aspx
    Monitoring foetal heart rate during maternal cardioversion is advisable, due to the risk of developing foetal bradycardia during or after the procedure and requiring for an emergency caesarean section. […] Adequate preparation with fluid preloading and positioning, securing appropriate drugs and emergency equipment, avoidance of tachyarrhythmia and prompt treatment on occurrence is required for the safety of both the mother and the foetus. […] The patient will demonstrate adequate coronary perfusion and behaviours that reduce the workload of the heart. […] The patient will verbalise relief of chest pain and reduction of pain score to acceptable range. […] The patient will maintain normal tissue perfusion as evidenced by normal foetal heart rate and uninterrupted foetal/uterine tissue perfusion. […] This case report should prompt the midwives to establish a rapid diagnosis to provide effective treatment of the WPW syndrome and the underlying disease process.
  • #80 WPW syndrome: Rare cause of sudden cardiac death in young people – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/wolff-parkinson-white-syndrome/diagnosis-treatment/drc-20354630
    To diagnose Wolff-Parkinson-White (WPW) syndrome, a healthcare professional examines you and listens to your heart with a device called a stethoscope. You usually are asked questions about your medical history and symptoms […] Our caring team of Mayo Clinic experts can help you with your Wolff-Parkinson-White (WPW) syndrome-related health concerns […] Treatment for Wolff-Parkinson-White (WPW) syndrome depends on: How often symptoms occur. How severe the symptoms are. The type of irregular heartbeat causing the fast heart rate. […] The goals of WPW syndrome treatment are to: Slow a fast heart rate when it occurs. Prevent future episodes. […] If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs.
  • #81 Wolff-Parkinson-White (WPW) syndrome // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/wolff-parkinson-white-wpw-syndrome
    If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. Take these steps: Do not smoke. Eat a healthy diet. Get regular exercise. Limit or avoid alcohol. Avoid caffeine or other stimulants. Maintain a healthy weight. Manage emotional stress. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs. Ask your healthcare professional: How to take your pulse and what heart rate is best for you. When and how to use vagal maneuvers, if appropriate. When to make an appointment for a health checkup. When to seek emergency care. […] If you have WPW syndrome, you may be referred to a doctor trained in heart problems present at birth. This type of healthcare professional is called a congenital cardiologist.
  • #82 Wolff-Parkinson-White (WPW) syndrome // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/wolff-parkinson-white-wpw-syndrome
    If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. Take these steps: Do not smoke. Eat a healthy diet. Get regular exercise. Limit or avoid alcohol. Avoid caffeine or other stimulants. Maintain a healthy weight. Manage emotional stress. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs. Ask your healthcare professional: How to take your pulse and what heart rate is best for you. When and how to use vagal maneuvers, if appropriate. When to make an appointment for a health checkup. When to seek emergency care. […] If you have WPW syndrome, you may be referred to a doctor trained in heart problems present at birth. This type of healthcare professional is called a congenital cardiologist.
  • #83 WOLFF-PARKINSON-WHITE SYNDROME: CAUSES, COMPLICATIONS, ABLATION, AND MANAGEMENT | Mya Care
    https://myacare.com/blog/wolff-parkinson-white-syndrome-causes-complications-ablation-and-management
    The main goal of WPW syndrome treatment is to prevent episodes of rapid heart rate and reduce the risk of complications. […] The enduring solution for WPW syndrome often involves catheter ablation. […] In rare cases, open-heart surgery may be necessary to correct the extra electrical pathway in the heart or to insert a pacemaker. […] Some lifestyle changes your doctor might recommend for those living with WPW syndrome include: Quitting smoking, Following a nutritious diet, Engaging in regular physical activity, Avoid caffeine or other stimulating substances, Keeping your weight within a healthy range, Taking steps to control emotional stress. […] The prognosis for those living with WPW syndrome is generally favorable, especially when appropriately managed. […] With appropriate treatment and management, most people with WPW syndrome can live an everyday, healthy life.
  • #84 Wolff-Parkinson-White (WPW) Syndrome: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.wolff-parkinson-white-wpw-syndrome-care-instructions.abo7611
    If your doctor showed you how to do vagal maneuvers, try them when you have an episode. These maneuvers include bearing down or putting an ice-cold, wet towel on your face. […] Monitor your condition by keeping a diary of your WPW episodes. Bring this to your doctor appointments. […] If they trigger episodes, limit or avoid alcohol or drinks with caffeine. […] Do not use over-the-counter decongestants. They often contain ingredients that make your heart beat faster (stimulants). […] If you smoke, vape, or use other tobacco or nicotine products, try to quit. If you need help quitting, talk to your doctor about quit programs and medicines. These can increase your chances of quitting for good. […] Call 911 anytime you think you may need emergency care. For example, call if: You passed out (lost consciousness). You are short of breath. […] Call your doctor now or seek immediate medical care if: You have a fast heartbeat. You are dizzy or lightheaded, or you feel like you may faint. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.
  • #85 Wolff-Parkinson-White Syndrome (Discharge Care)
    https://www.drugs.com/cg/wolff-parkinson-white-syndrome-discharge-care.html
    Wolff-Parkinson-White (WPW) syndrome is a condition that causes tachycardia (fast heartbeat). A normal heartbeat is about 60 to 100 beats per minute. WPW causes 100 or more heartbeats per minute. WPW develops because an extra piece of heart muscle causes more electrical activity within your heart. WPW can develop for no known reason. Congenital heart disease or a family history of WPW can increase your risk. […] Seek care immediately if: You have fast or abnormal heartbeats even after treatment. […] Medicines may be given to slow or regulate your heartbeat. […] Vagal maneuvers are methods that can slow your heartbeat during a WPW episode. […] Smoking narrows blood vessels in your heart. […] Exercise can cause episodes of irregular heartbeats. […] Limit caffeine: Caffeine can make your heartbeat faster.
  • #86
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abo7611
    If they trigger episodes, limit or avoid alcohol or drinks with caffeine. […] Do not smoke. Smoking can make this condition worse. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have a fast heartbeat. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected.
  • #87
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abo7611
    Wolff-Parkinson-White (WPW) syndrome is a heart rhythm problem that causes a very fast heart rate. It happens because you have an extra electrical pathway in your heart. WPW is a congenital heart problem. This means you were born with the problem. […] Your doctor may prescribe medicines to help slow down your heartbeat. Your doctor may also suggest you try vagal manoeuvres when having an episode of WPW. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] Be safe with medicines. Take your medicines exactly as prescribed. […] If your doctor showed you how to do vagal manoeuvres, try them when you have an episode. […] Monitor your condition by keeping a diary of your WPW episodes.
  • #88 Wolff-Parkinson-White (WPW) Syndrome: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.wolff-parkinson-white-wpw-syndrome-care-instructions.abo7611
    If your doctor showed you how to do vagal maneuvers, try them when you have an episode. These maneuvers include bearing down or putting an ice-cold, wet towel on your face. […] Monitor your condition by keeping a diary of your WPW episodes. Bring this to your doctor appointments. […] If they trigger episodes, limit or avoid alcohol or drinks with caffeine. […] Do not use over-the-counter decongestants. They often contain ingredients that make your heart beat faster (stimulants). […] If you smoke, vape, or use other tobacco or nicotine products, try to quit. If you need help quitting, talk to your doctor about quit programs and medicines. These can increase your chances of quitting for good. […] Call 911 anytime you think you may need emergency care. For example, call if: You passed out (lost consciousness). You are short of breath. […] Call your doctor now or seek immediate medical care if: You have a fast heartbeat. You are dizzy or lightheaded, or you feel like you may faint. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.
  • #89
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abo7672
    Wolff-Parkinson-White (WPW) syndrome is a heart rhythm problem that causes a very fast heart rate. It happens because your child has an extra electrical pathway in the heart. WPW is a congenital heart problem. This means your child was born with the problem. […] Your child’s doctor may prescribe medicines to help slow down your child’s heartbeat. Your doctor may also suggest that your child try vagal manoeuvres when having an episode of WPW. […] In some cases, a procedure called catheter ablation can correct WPW. […] Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if your child is having problems. […] Be safe with medicines. Have your child take medicines exactly as prescribed. […] If the doctor showed you and your child how to do vagal manoeuvres, your child can try them during an episode.
  • #90
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abo7672
    Monitor your child’s condition by keeping a diary of their episodes. […] Do not give your child over-the-counter decongestants. They often contain ingredients that make the heart beat faster (stimulants). […] Call your doctor or nurse advice line now or seek immediate medical care if: Your child has a fast heartbeat. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if: Your child does not get better as expected.
  • #91 Wolff-Parkinson-White (WPW) syndrome // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/wolff-parkinson-white-wpw-syndrome
    If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. Take these steps: Do not smoke. Eat a healthy diet. Get regular exercise. Limit or avoid alcohol. Avoid caffeine or other stimulants. Maintain a healthy weight. Manage emotional stress. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs. Ask your healthcare professional: How to take your pulse and what heart rate is best for you. When and how to use vagal maneuvers, if appropriate. When to make an appointment for a health checkup. When to seek emergency care. […] If you have WPW syndrome, you may be referred to a doctor trained in heart problems present at birth. This type of healthcare professional is called a congenital cardiologist.
  • #92 Wolff-Parkinson-White (WPW) syndrome // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/wolff-parkinson-white-wpw-syndrome
    If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. Take these steps: Do not smoke. Eat a healthy diet. Get regular exercise. Limit or avoid alcohol. Avoid caffeine or other stimulants. Maintain a healthy weight. Manage emotional stress. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs. Ask your healthcare professional: How to take your pulse and what heart rate is best for you. When and how to use vagal maneuvers, if appropriate. When to make an appointment for a health checkup. When to seek emergency care. […] If you have WPW syndrome, you may be referred to a doctor trained in heart problems present at birth. This type of healthcare professional is called a congenital cardiologist.
  • #93 WPW syndrome: Rare cause of sudden cardiac death in young people – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/wolff-parkinson-white-syndrome/diagnosis-treatment/drc-20354630
    To diagnose Wolff-Parkinson-White (WPW) syndrome, a healthcare professional examines you and listens to your heart with a device called a stethoscope. You usually are asked questions about your medical history and symptoms […] Our caring team of Mayo Clinic experts can help you with your Wolff-Parkinson-White (WPW) syndrome-related health concerns […] Treatment for Wolff-Parkinson-White (WPW) syndrome depends on: How often symptoms occur. How severe the symptoms are. The type of irregular heartbeat causing the fast heart rate. […] The goals of WPW syndrome treatment are to: Slow a fast heart rate when it occurs. Prevent future episodes. […] If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs.
  • #94 WPW syndrome: Rare cause of sudden cardiac death in young people – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/wolff-parkinson-white-syndrome/diagnosis-treatment/drc-20354630
    If you have WPW syndrome, you may be referred to a doctor trained in heart problems present at birth. This type of healthcare professional is called a congenital cardiologist. […] For WPW syndrome, some basic questions to ask your healthcare team include: What is the likely cause of my fast heart rate? What tests do I need? What treatments can help? What are the risks of WPW syndrome? […] Wolff-Parkinson-White (WPW) syndrome care at Mayo Clinic.
  • #95 Get Wolff-Parkinson-White Syndrome Treatment | Cleveland Clinic Children’s
    https://my.clevelandclinic.org/pediatrics/services/wolff-parkinson-white-syndrome-treatment
    Wolff-Parkinson-White (WPW) syndrome is a rare congenital (born with it) condition that causes the electrical signals in your childs heart to travel a different way. This change can cause an arrhythmia, making their heart beat too fast. […] Cleveland Clinic Childrens cardiology experts specialize in diagnosing WPW and other congenital heart conditions in children and young adults. […] Our expert pediatric cardiology providers have advanced training and years of experience in treating congenital heart conditions like WPW. They use the latest treatments to diagnose and care for your child. […] Your family plays a big part in your childs healthcare and well-being. Thats why we use a family-centered approach in all we do. Your childs care team listens to your concerns, answers your questions and keeps you in the loop at each step from diagnosis to recovery and beyond.
  • #96 Wolff-Parkinson-White Syndrome | Conditions | UCSF Health
    https://www.ucsfhealth.org/conditions/wolff-parkinson-white-syndrome
    With Wolff-Parkinson-White (WPW) syndrome, an extra, abnormal pathway is present between the atrium, or upper chamber, and ventricle, or lower chamber. This causes the electrical signal to arrive at the ventricle too soon and to be transmitted back into the atrium. Very fast heart rates may develop as the electrical signal ricochets between the atria and ventricles. […] We offer comprehensive evaluations to pinpoint the source of the arrhythmia, as well as the most innovative treatments available to restore the heart’s normal rhythm. Our team includes electrophysiologists cardiologists who subspecialize in heart rhythm disorders as well as expert nurses and technicians. […] Patients who choose to participate in clinical trials may have access to experimental therapies, devices or medications that might work better for them than the established options.
  • #97 Get Wolff-Parkinson-White Syndrome Treatment | Cleveland Clinic Children’s
    https://my.clevelandclinic.org/pediatrics/services/wolff-parkinson-white-syndrome-treatment
    Wolff-Parkinson-White (WPW) syndrome is a rare congenital (born with it) condition that causes the electrical signals in your childs heart to travel a different way. This change can cause an arrhythmia, making their heart beat too fast. […] Cleveland Clinic Childrens cardiology experts specialize in diagnosing WPW and other congenital heart conditions in children and young adults. […] Our expert pediatric cardiology providers have advanced training and years of experience in treating congenital heart conditions like WPW. They use the latest treatments to diagnose and care for your child. […] Your family plays a big part in your childs healthcare and well-being. Thats why we use a family-centered approach in all we do. Your childs care team listens to your concerns, answers your questions and keeps you in the loop at each step from diagnosis to recovery and beyond.
  • #98
    https://journals.lww.com/ijcn/fulltext/2024/01000/a_case_report_on_wolff_parkinson_white_syndrome_in.4.aspx
    Monitoring foetal heart rate during maternal cardioversion is advisable, due to the risk of developing foetal bradycardia during or after the procedure and requiring for an emergency caesarean section. […] Adequate preparation with fluid preloading and positioning, securing appropriate drugs and emergency equipment, avoidance of tachyarrhythmia and prompt treatment on occurrence is required for the safety of both the mother and the foetus. […] The patient will demonstrate adequate coronary perfusion and behaviours that reduce the workload of the heart. […] The patient will verbalise relief of chest pain and reduction of pain score to acceptable range. […] The patient will maintain normal tissue perfusion as evidenced by normal foetal heart rate and uninterrupted foetal/uterine tissue perfusion. […] This case report should prompt the midwives to establish a rapid diagnosis to provide effective treatment of the WPW syndrome and the underlying disease process.
  • #99 Wolff-Parkinson-White Syndrome
    https://mydoctor.kaiserpermanente.org/mas/structured-content/Condition_Wolff-Parkinson-White_Syndrome_-_Cardio_EP.xml?co=/regions/mas
    Wolff-Parkinson-White (WPW) syndrome is a condition in which an extra electrical signaling pathway in the heart causes episodes of an abnormally fast heart rate (called tachycardia). […] Effective treatments are available to manage and sometimes cure WPW syndrome. […] The goal of treatment is to stop a fast heart rhythm and to prevent future episodes. Treatment decisions are based on: Frequency of episodes, Your risk of having episodes of a rapid heartbeat, Severity of symptoms. […] Regular follow-up care is important for patients with WPW syndrome, even if you are not experiencing symptoms. […] If you do experience symptoms, we will talk with you about how to recognize signs of an abnormally rapid heartbeat and how to manage and prevent episodes. General recommendations may include: Tell the person you are with or someone else around you that you are dizzy and need help. Ask them to help you sit or lie down.
  • #100 Wolff-Parkinson-White Syndrome | Conditions | UCSF Health
    https://www.ucsfhealth.org/conditions/wolff-parkinson-white-syndrome
    With Wolff-Parkinson-White (WPW) syndrome, an extra, abnormal pathway is present between the atrium, or upper chamber, and ventricle, or lower chamber. This causes the electrical signal to arrive at the ventricle too soon and to be transmitted back into the atrium. Very fast heart rates may develop as the electrical signal ricochets between the atria and ventricles. […] We offer comprehensive evaluations to pinpoint the source of the arrhythmia, as well as the most innovative treatments available to restore the heart’s normal rhythm. Our team includes electrophysiologists cardiologists who subspecialize in heart rhythm disorders as well as expert nurses and technicians. […] Patients who choose to participate in clinical trials may have access to experimental therapies, devices or medications that might work better for them than the established options.
  • #101 Wolff Parkinson White (WPW) syndrome: what the critical care nurse needs to consider when administering antiarrhythmics – PubMed
    https://pubmed.ncbi.nlm.nih.gov/11899759/
    This paper discusses the importance of critical care and emergency nurses having an understanding of why pre-existing cardiac disorders can influence antiarrhythmic treatment. […] The patient with a pre-excitation syndrome is usually managed in a coronary care unit. However, these patients may be admitted to an intensive care unit (ICU) with complications of Wolff Parkinson White (WPW) syndrome; for example post cardiopulmonary arrest or WPW as a co-morbidity. […] Therefore, the critical care nurse must have knowledge of the implications of administering standard antiarrhythmic agents if this patient reverts into a tachyarrhythmia. […] If antiarrhythmics are administered that are contraindicated in patients with WPW syndrome, then there is potential for deleterious effects. […] The paper outlines the correct treatment and discusses the deleterious effects of incorrect administration of drugs in WPW syndrome.
  • #102 Wolff-Parkinson-White Syndrome – Seattle Children’s
    https://www.seattlechildrens.org/conditions/wolff-parkinson-white-syndrome/
    Wolff-Parkinson-White (WPW) is when the heart has an extra electrical pathway, also called an accessory pathway. Because of this extra pathway, electrical signals in the heart avoid the normal electrical pathway. This can lead to life-threatening heart rhythm problems. […] Children with WPW do not always need treatment. Often, an irregular heartbeat does not cause any problems. But sometimes it keeps the heart from pumping the right amount of blood to the brain or other organs. This can be dangerous. So, it is important to have your child’s heart checked by a doctor who can offer treatment if your child needs it. […] Your child may need treatment if they have symptoms or they have a fast heartbeat that happens often or lasts for a while. Doctors treat WPW first with medicines that control the heart rate.
  • #103 Wolff-Parkinson-White Syndrome – Seattle Children’s
    https://www.seattlechildrens.org/conditions/wolff-parkinson-white-syndrome/
    If medicine does not work well enough, doctors may use ablation. They may also use ablation to get rid of an abnormal electrical pathway if it poses a dangerous risk to your child. […] Our nurses are experienced at supporting families with WPW. They help manage your child’s care and teach you and your child about this condition. […] Seattle Children’s is one of the few institutions in the region to offer zero fluoro or minimal fluoro ablation. This means we use techniques many that we developed to expose your child to little or no X-ray radiation. Most places use fluoroscopy during ablation.
  • #104
    https://www.singhealth.com.sg/patient-care/conditions-treatments/wolff-parkinson-white-syndrome-wpw
    Wolff-Parkinson-White (WPW) Syndrome is a genetic heart condition where there is an extra electrical pathway (circuit) in the heart; leading to abnormal conduction of electrical impulse from the atrial to the ventricles, causing episodes of rapid heart rate. […] Catheter ablation offers a cure for WPW syndrome. In this minimally invasive procedure, a catheter is advanced from the groin to the heart. The exact site of the accessory pathway and radiofrequency energy is delivered to eliminate this accessory pathway. […] The nurse will instruct you to rest in bed for about 8 to 12 hours. You can have food and drinks, on returning back to the ward. The nurse will monitor the pulse rate hourly and blood pressure 4 hourly for 24 hours. A telemetry (ECG monitoring device) will be put on when necessary. An intravenous drip may be started and oral medication may be given on return to the ward. Call the nurse or doctor if there is bleeding from the groin.
  • #105 Wolff Parkinson White (WPW) syndrome: what the critical care nurse needs to consider when administering antiarrhythmics – PubMed
    https://pubmed.ncbi.nlm.nih.gov/11899759/
    This paper discusses the importance of critical care and emergency nurses having an understanding of why pre-existing cardiac disorders can influence antiarrhythmic treatment. […] The patient with a pre-excitation syndrome is usually managed in a coronary care unit. However, these patients may be admitted to an intensive care unit (ICU) with complications of Wolff Parkinson White (WPW) syndrome; for example post cardiopulmonary arrest or WPW as a co-morbidity. […] Therefore, the critical care nurse must have knowledge of the implications of administering standard antiarrhythmic agents if this patient reverts into a tachyarrhythmia. […] If antiarrhythmics are administered that are contraindicated in patients with WPW syndrome, then there is potential for deleterious effects. […] The paper outlines the correct treatment and discusses the deleterious effects of incorrect administration of drugs in WPW syndrome.
  • #106 Patient education: Wolff-Parkinson-White syndrome (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/wolff-parkinson-white-syndrome-beyond-the-basics
    Patient education: Wolff-Parkinson-White syndrome (Beyond the Basics) […] Wolff-Parkinson-White (WPW) syndrome is a condition in which episodes of fast heart rate (called tachycardia) occur because of an abnormal extra electrical pathway in the heart. […] Treatments are available for those who do experience symptoms. […] The long-term outcome of people with WPW is excellent, especially when treatments are used to eliminate the abnormal electrical pathway. […] People with WPW syndrome require treatment when or if they have an episode of tachycardia due to the serious potential risks of the tachycardia. Treatment focuses on stopping the tachycardia and preventing it from recurring. […] Radiofrequency catheter ablation of the accessory pathway is the treatment of choice for people with WPW syndrome.
  • #107 WOLFF-PARKINSON-WHITE SYNDROME: CAUSES, COMPLICATIONS, ABLATION, AND MANAGEMENT | Mya Care
    https://myacare.com/blog/wolff-parkinson-white-syndrome-causes-complications-ablation-and-management
    The main goal of WPW syndrome treatment is to prevent episodes of rapid heart rate and reduce the risk of complications. […] The enduring solution for WPW syndrome often involves catheter ablation. […] In rare cases, open-heart surgery may be necessary to correct the extra electrical pathway in the heart or to insert a pacemaker. […] Some lifestyle changes your doctor might recommend for those living with WPW syndrome include: Quitting smoking, Following a nutritious diet, Engaging in regular physical activity, Avoid caffeine or other stimulating substances, Keeping your weight within a healthy range, Taking steps to control emotional stress. […] The prognosis for those living with WPW syndrome is generally favorable, especially when appropriately managed. […] With appropriate treatment and management, most people with WPW syndrome can live an everyday, healthy life.
  • #108 Patient education: Wolff-Parkinson-White syndrome (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/wolff-parkinson-white-syndrome-beyond-the-basics
    Patient education: Wolff-Parkinson-White syndrome (Beyond the Basics) […] Wolff-Parkinson-White (WPW) syndrome is a condition in which episodes of fast heart rate (called tachycardia) occur because of an abnormal extra electrical pathway in the heart. […] Treatments are available for those who do experience symptoms. […] The long-term outcome of people with WPW is excellent, especially when treatments are used to eliminate the abnormal electrical pathway. […] People with WPW syndrome require treatment when or if they have an episode of tachycardia due to the serious potential risks of the tachycardia. Treatment focuses on stopping the tachycardia and preventing it from recurring. […] Radiofrequency catheter ablation of the accessory pathway is the treatment of choice for people with WPW syndrome.
  • #109 Patient education: Wolff-Parkinson-White syndrome (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/wolff-parkinson-white-syndrome-beyond-the-basics/print
    Wolff-Parkinson-White (WPW) syndrome is a condition in which episodes of fast heart rate (called tachycardia) occur because of an abnormal extra electrical pathway in the heart. […] Treatments are available for those who do experience symptoms. The long-term outcome of people with WPW is excellent, especially when treatments are used to eliminate the abnormal electrical pathway. […] People with WPW syndrome require treatment when or if they have an episode of tachycardia due to the serious potential risks of the tachycardia. Treatment focuses on stopping the tachycardia and preventing it from recurring. […] Radiofrequency catheter ablation of the accessory pathway is the treatment of choice for people with WPW syndrome. […] When performed by experienced specialists, ablation cures the WPW syndrome over 95 percent of the time.
  • #110 Wolff-Parkinson-White syndrome (WPW) Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/wolff-parkinson-white-syndrome-wpw
    Medicines, particularly antiarrhythmic drugs such as procainamide or amiodarone, may be used to control or prevent a rapid heartbeat. […] The long-term treatment for WPW syndrome is very often catheter ablation. This procedure involves inserting a tube (catheter) into a vein through a small cut near the groin up to the heart area. […] Catheter ablation cures this disorder in most people. The success rate for the procedure ranges between 85% to 95%. […] Complications may include: Complications of surgery, Heart failure, Reduced blood pressure (caused by rapid heart rate), Side effects of medicines. […] Contact your provider if: You have symptoms of WPW syndrome. You have this disorder and symptoms get worse or do not improve with treatment.
  • #111 Wolff-Parkinson-White Syndrome: Symptoms, Treatment, Outlook, and More
    https://resources.healthgrades.com/right-care/heart-health/wolff-parkinson-white-syndrome
    The outlook for people with WPW syndrome has improved over the years with advancements in medications and ablation procedures. […] Reporting any symptoms to your doctor and following their treatment plan is the best way to manage the condition and prevent complications. […] There is currently no way to prevent WPW syndrome. Once it’s diagnosed, there are effective treatments available to prevent or stop episodes. […] Talk with your doctor about ways to manage WPW syndrome.
  • #112 WOLFF-PARKINSON-WHITE SYNDROME: CAUSES, COMPLICATIONS, ABLATION, AND MANAGEMENT | Mya Care
    https://myacare.com/blog/wolff-parkinson-white-syndrome-causes-complications-ablation-and-management
    The main goal of WPW syndrome treatment is to prevent episodes of rapid heart rate and reduce the risk of complications. […] The enduring solution for WPW syndrome often involves catheter ablation. […] In rare cases, open-heart surgery may be necessary to correct the extra electrical pathway in the heart or to insert a pacemaker. […] Some lifestyle changes your doctor might recommend for those living with WPW syndrome include: Quitting smoking, Following a nutritious diet, Engaging in regular physical activity, Avoid caffeine or other stimulating substances, Keeping your weight within a healthy range, Taking steps to control emotional stress. […] The prognosis for those living with WPW syndrome is generally favorable, especially when appropriately managed. […] With appropriate treatment and management, most people with WPW syndrome can live an everyday, healthy life.
  • #113 Get Wolff-Parkinson-White Syndrome Treatment | Cleveland Clinic Children’s
    https://my.clevelandclinic.org/pediatrics/services/wolff-parkinson-white-syndrome-treatment
    If your child is born with WPW, a rare congenital heart condition, it means they have an extra wire (or pathway) connecting the top of their heart (atria) to the bottom of their heart (ventricles). […] Symptoms play a big part in confirming a diagnosis. Your childs healthcare provider will ask you what symptoms theyre having, how long theyve had them and how theyre feeling. […] Your child may not need treatment, especially if they dont have ongoing symptoms. But if they have a constantly rapid heart rate and dizziness, fainting and shortness of breath their provider may recommend one or a combination of treatments, like: […] Our pediatric cardiology experts use catheter ablation, a type of ablation therapy, to „destroy” the abnormal pathway. […] Treatment like radiofrequency ablation often solves the problem. If not, your childs provider may recommend managing symptoms with vagal maneuvers, and/or medications. […] Arrhythmias caused by Wolff-Parkinson-White syndrome are treatable. And the pediatric cardiology providers at Cleveland Clinic Childrens are here to help.
  • #114 Wolff-Parkinson-White Syndrome – Heart Condition | familydoctor.org
    https://familydoctor.org/condition/wolff-parkinson-white-syndrome/
    There are several treatment options available for WPW syndrome. You doctor may talk to you about vagal maneuvers. These are things you can do on your own to help slow your heart rate. These things include coughing or pushing down like you are having a bowel movement. If vagal maneuvers don’t help slow your heart rate, your doctor may prescribe an anti-arrhythmic medicine. Sometimes, people must have their heart electrically shocked to bring the heartbeat back to normal. Your doctor will hold paddles against your chest for this procedure. For some people, surgery may also be an option. […] It is possible for WPW symptoms to disappear over time. For those who continue to experience symptoms, living with WPW can be frustrating. Unless you know your trigger, you can’t anticipate when your heartbeat will become rapid. And you don’t know how long it will stay that way. Having to have your heart shocked back to a normal beat can be stressful.
  • #115 Wolff-Parkinson-White Syndrome: Symptoms, Treatment, More
    https://www.healthline.com/health/arrhythmia/wolff-parkinson-white-syndrome
    Wolff-Parkinson-White syndrome is a type of congenital heart arrhythmia. Its severity can vary, but regular monitoring and sometimes treatment are important in preventing complications. […] WPW syndrome is a congenital condition, meaning you’re born with it. However, the symptoms may not appear until early adulthood. […] WPW syndrome has an overall positive outlook for most people who receive an early diagnosis. It’s important to work with a doctor if you’re experiencing possible symptoms of this condition, especially if you have known risk factors. […] Asymptomatic WPW syndrome doesn’t necessarily require treatment, but you will need to visit a doctor for regular checkups. […] However, if you do have symptoms, a doctor may recommend certain treatments based on the severity and frequency of your symptoms.
  • #116 Wolff-Parkinson-White Syndrome: Symptoms, Treatment, More
    https://www.healthline.com/health/arrhythmia/wolff-parkinson-white-syndrome
    Some treatments and lifestyle changes may help prevent future WPW syndrome episodes. […] Other treatments, such as cardioversion and injectable adenosine, may help stop severe WPW syndrome episodes as they happen. Healthcare professionals primarily use these in a hospital setting. […] However, if your symptoms are infrequent and usually mild, a doctor may recommend lifestyle changes and regular checkups to help monitor your condition. […] Your outlook with WPW syndrome depends on its severity. Most people with this condition find that their symptoms change over time. […] While some people need treatment to help manage their symptoms, people with mild and occasional episodes might not require it. It’s also possible for treatment to cure WPW syndrome. […] Symptoms of WPW syndrome are highly variable. A cardiologist may only recommend treatment if you have symptoms. Still, this condition may increase your risk of cardiac arrest, so you will need to see a doctor regularly.
  • #117 Wolff-Parkinson-White Syndrome | Conditions | UCSF Health
    https://www.ucsfhealth.org/conditions/wolff-parkinson-white-syndrome
    Depending on the type and severity of your arrhythmia, and the results of various tests including the electrophysiology study, there are several treatment options. You and your doctor will decide which one is right for you. […] A technique pioneered at UCSF, radiofrequency catheter ablation destroys or disrupts parts of the electrical pathways causing the arrhythmias, providing relief for patients who may not have responded well to medications, or who would rather not or can’t take medications. […] For conditions like Wolff-Parkinson-White syndrome, in which a hair-thin strand of tissue creates an extra electrical pathway between the upper and lower chambers of the heart, radiofrequency ablation offers a cure. It has become the treatment of choice for patients with that disorder who don’t respond well to drug therapy or who have a propensity for rapid heart rates.
  • #118 Wolff-Parkinson-White Syndrome | Conditions | UCSF Health
    https://www.ucsfhealth.org/conditions/wolff-parkinson-white-syndrome
    While studies have shown that catheter ablation is more cost effective than drug therapy or surgery, patients who undergo the procedure also experience remarkable improvement in quality of life. […] An implantable cardioverter defibrillator is a device for people who are prone to life-threatening rapid heart rhythms. […] The U.S. Food and Drug Administration (FDA) recently approved the first of a new type of pacemaker that paces both ventricles of the heart to coordinate their contractions and improve their pumping ability.
  • #119 WPW syndrome: Rare cause of sudden cardiac death in young people – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/wolff-parkinson-white-syndrome/diagnosis-treatment/drc-20354630
    To diagnose Wolff-Parkinson-White (WPW) syndrome, a healthcare professional examines you and listens to your heart with a device called a stethoscope. You usually are asked questions about your medical history and symptoms […] Our caring team of Mayo Clinic experts can help you with your Wolff-Parkinson-White (WPW) syndrome-related health concerns […] Treatment for Wolff-Parkinson-White (WPW) syndrome depends on: How often symptoms occur. How severe the symptoms are. The type of irregular heartbeat causing the fast heart rate. […] The goals of WPW syndrome treatment are to: Slow a fast heart rate when it occurs. Prevent future episodes. […] If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs.
  • #120 Wolff-Parkinson-White (WPW) syndrome // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/wolff-parkinson-white-wpw-syndrome
    If you have WPW syndrome or any type of heart disease, your healthcare team usually recommends following a heart-healthy lifestyle. Take these steps: Do not smoke. Eat a healthy diet. Get regular exercise. Limit or avoid alcohol. Avoid caffeine or other stimulants. Maintain a healthy weight. Manage emotional stress. […] If you have a plan in place to manage an episode of a fast heartbeat, you may feel calmer and more in control when one occurs. Ask your healthcare professional: How to take your pulse and what heart rate is best for you. When and how to use vagal maneuvers, if appropriate. When to make an appointment for a health checkup. When to seek emergency care. […] If you have WPW syndrome, you may be referred to a doctor trained in heart problems present at birth. This type of healthcare professional is called a congenital cardiologist.