Zespół wolffa-parkinsona-white’a (wpw)
Zapobieganie i profilaktyka

Zespół Wolffa-Parkinsona-White’a (WPW) to wrodzona anomalia układu przewodzącego serca, charakteryzująca się obecnością dodatkowej drogi przewodzenia między przedsionkami a komorami, co predysponuje do częstoskurczów nadkomorowych i innych arytmii. U pacjentów bezobjawowych leczenie nie jest rutynowo wskazane, jednak szczególną uwagę należy zwrócić na osoby wykonujące zawody wysokiego ryzyka, dzieci i młodych dorosłych uprawiających sport wyczynowy oraz osoby starsze aktywne fizycznie lub planujące zabiegi chirurgiczne. Wskazaniem do profilaktycznej ablacji cewnikowej drogi dodatkowej, która cechuje się skutecznością na poziomie 95-98%, są cechy wysokiego ryzyka wykryte w badaniu elektrofizjologicznym. Ablacja ta eliminuje ryzyko nagłej śmierci sercowej i umożliwia powrót do pełnej aktywności fizycznej, w tym sportów wyczynowych.

Wprowadzenie do profilaktyki zespołu Wolffa-Parkinsona-White’a

Zespół Wolffa-Parkinsona-White’a (WPW) to wrodzona anomalia układu przewodzącego serca, charakteryzująca się obecnością dodatkowej drogi przewodzenia (drogi dodatkowej) pomiędzy przedsionkami a komorami serca. Ta dodatkowa droga umożliwia alternatywną ścieżkę depolaryzacji komór, co może prowadzić do epizodów częstoskurczu nadkomorowego i innych zaburzeń rytmu serca.12 Należy podkreślić, że zespół WPW jest schorzeniem wrodzonym i nie można mu zapobiec poprzez modyfikację stylu życia czy inne działania prewencyjne.34

Stratyfikacja ryzyka i postępowanie u pacjentów bezobjawowych

Chociaż zespół WPW może pozostawać bezobjawowy u wielu pacjentów, istnieje konieczność odpowiedniej oceny ryzyka, szczególnie w określonych grupach pacjentów.56 Pacjenci bezobjawowi z cechami WPW w zapisie EKG zwykle nie wymagają natychmiastowego leczenia, jednak istnieją wyjątki od tej reguły:

  • Osoby wykonujące zawody wysokiego ryzyka (np. piloci, kierowcy autobusów szkolnych, zawodowi sportowcy) powinny zostać poddane badaniom przesiewowym w celu oceny, czy mają drogi dodatkowe wysokiego ryzyka67
  • Dzieci i młodzi dorośli przed udziałem w sportach wyczynowych powinni przejść odpowiednią ocenę elektrofizjologiczną89
  • Osoby starsze, nawet bezobjawowe, powinny zostać przebadane pod kątem ryzyka groźnych arytmii, szczególnie jeśli nadal uprawiają ćwiczenia fizyczne lub planują rozległe zabiegi chirurgiczne10

U pacjentów bezobjawowych, u których wykryto cechy wysokiego ryzyka w badaniu elektrofizjologicznym, zaleca się rozważenie ablacji drogi dodatkowej i profilaktyczne leczenie przeciwarytmiczne.711

Profilaktyczna ablacja jako metoda zapobiegania arytmiom

Ablacja cewnikowa dróg dodatkowych jest uznawana za najskuteczniejszą metodę zapobiegania nawrotom arytmii oraz nagłej śmierci sercowej u pacjentów z zespołem WPW.1213 Procedura ta oferuje następujące korzyści:

  • Wskaźnik skuteczności wynoszący około 95-98% przypadków1415
  • Eliminacja ryzyka nagłej śmierci sercowej, szczególnie u dzieci i młodych dorosłych z WPW16
  • Możliwość powrotu do wszystkich aktywności, w tym sportów wyczynowych, po skutecznej ablacji i normalizacji EKG8
  • Rozwiązanie długoterminowe, które umożliwia pacjentom wykonywanie zawodów zakazanych przy obecności WPW w EKG17

Profilaktyczna ablacja jest szczególnie zalecana u pacjentów objawowych oraz u bezobjawowych pacjentów z cechami wysokiego ryzyka.1118 Decyzja o wykonaniu profilaktycznej ablacji powinna być podjęta po konsultacji z elektrofizjologiem lub kardiologiem z doświadczeniem w leczeniu zespołu WPW.7

Farmakologiczne metody profilaktyki arytmii

Leki przeciwarytmiczne mogą być stosowane do zapobiegania nawrotom częstoskurczu u pacjentów z zespołem WPW, szczególnie u tych, którzy nie są kandydatami do ablacji lub zabiegu chirurgicznego.13 Wybór leków przeciwarytmicznych w zespole WPW wymaga szczególnej ostrożności:

  • Zalecane leki: Leki hamujące przewodzenie przez drogi dodatkowe, takie jak:
  • Leki przeciwwskazane: Leki blokujące węzeł przedsionkowo-komorowy, takie jak:
    • Adenozyna
    • Blokery kanału wapniowego (np. werapamil, diltiazem)
    • Beta-blokery720

Te przeciwwskazane leki mogą nasilać przewodzenie przez drogę dodatkową, co może prowadzić do przyspieszonego rytmu komorowego, a nawet do zapaści hemodynamicznej, szczególnie podczas migotania przedsionków u pacjentów z zespołem WPW.2118

Modyfikacje stylu życia w zapobieganiu napadom arytmii

Chociaż nie można zapobiec rozwojowi zespołu WPW, odpowiednie modyfikacje stylu życia mogą pomóc w zmniejszeniu częstości występowania epizodów arytmii u pacjentów z rozpoznanym zespołem:1422

  • Unikanie czynników wyzwalających, takich jak:
    • Alkohol
    • Kofeina
    • Intensywny wysiłek fizyczny (szczególnie sporty wyczynowe)
    • Stres2324
  • Kontrola chorób współistniejących:
    • Utrzymanie prawidłowego ciśnienia tętniczego
    • Kontrola problemów z tarczycą
    • Utrzymanie prawidłowego poziomu cholesterolu2524
  • Zdrowy styl życia:
    • Utrzymanie prawidłowej masy ciała
    • Regularna, umiarkowana aktywność fizyczna (po konsultacji z lekarzem)
    • Dieta przyjazna dla serca
    • Unikanie palenia tytoniu2526

Techniki przerywania napadu arytmii

Ważnym elementem profilaktyki jest edukacja pacjenta na temat technik, które mogą pomóc przerwać napad częstoskurczu. Do najczęściej zalecanych manewrów pobudzających nerw błędny należą:2725

  • Manewr Valsalvy (napinanie mięśni brzucha przy zamkniętej głośni)
  • Kaszel lub wywołanie odruchu wymiotnego
  • Zatrzymanie oddechu
  • Przyłożenie lodu do twarzy2628

Pacjent powinien zostać odpowiednio przeszkolony przez swojego kardiologa w zakresie wykonywania tych manewrów.29

Specjalne zalecenia profilaktyczne dla wybranych grup pacjentów

Profilaktyka u sportowców z zespołem WPW

Zespół WPW jest jedną z najczęściej identyfikowanych przyczyn nagłej śmierci sercowej u sportowców.8 Szczególne zalecenia dla tej grupy obejmują:

  • Szczegółową ocenę podczas badań przed dopuszczeniem do uprawiania sportu
  • Ograniczenie intensywnych ćwiczeń do czasu pełnej oceny drogi dodatkowej
  • Rozważenie profilaktycznej ablacji u sportowców z drogą dodatkową wysokiego ryzyka lub uprawiających sporty wysokiego ryzyka
  • Możliwość powrotu do sportu po udanej ablacji, braku objawów i normalizacji EKG89

Profilaktyka podczas znieczulenia i zabiegów chirurgicznych

Pacjenci z zespołem WPW wymagają szczególnej uwagi podczas zabiegów chirurgicznych. Zalecenia obejmują:30

  • Odpowiednią profilaktykę bólu, lęku i odpowiedzi stresowej
  • Unikanie czynników wyzwalających reakcję współczulną (intubacja, ekstubacja, hipowolemia, zbyt płytkie znieczulenie)
  • Odpowiednie monitorowanie podczas znieczulenia ogólnego
  • Utrzymanie gotowości do natychmiastowego leczenia arytmii30

Monitorowanie i długoterminowa obserwacja

Niezależnie od obecności objawów, pacjenci z zespołem WPW powinni pozostawać pod regularną opieką kardiologiczną:31

  • Regularne badania kontrolne u kardiologa, nawet u pacjentów bezobjawowych
  • Natychmiastowe zgłaszanie wszelkich objawów sugerujących arytmię
  • Okresowa ocena skuteczności zastosowanego leczenia
  • Rozważenie badań przesiewowych u członków rodziny pacjentów z zespołem WPW3132

Wnioski dotyczące profilaktyki zespołu WPW

Chociaż zespół Wolffa-Parkinsona-White’a jest wrodzonym zaburzeniem, którego nie można zapobiec, dostępne są skuteczne metody zapobiegania powikłaniom i nawrotom arytmii.33 Ablacja cewnikowa stanowi obecnie metodę z wyboru w profilaktyce długoterminowej, oferując wskaźnik skuteczności ok. 95% i niskie ryzyko powikłań.34 Farmakoterapia przeciwarytmiczna oraz modyfikacje stylu życia stanowią ważne uzupełnienie leczenia zabiegowego, szczególnie u pacjentów, którzy nie kwalifikują się do ablacji.35

Kluczowym elementem profilaktyki jest odpowiednia stratyfikacja ryzyka, szczególnie u pacjentów bezobjawowych, oraz indywidualizacja leczenia w zależności od wieku pacjenta, wykonywanych przez niego aktywności oraz obecności czynników ryzyka.6 Edukacja pacjenta odnośnie do technik przerywania napadów arytmii oraz zdrowego stylu życia stanowi integralną część długoterminowego postępowania profilaktycznego.25

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Wolff-Parkinson-White Syndrome
    https://my.clevelandclinic.org/health/diseases/17643-wolff-parkinson-white-syndrome-wpw
    No. Wolff-Parkinson-White syndrome is a condition youre born with. Theres nothing you can do to prevent it.
  • #2 A Case of Supraventricular Tachycardia Associated With Wolff-Parkinson-White Syndrome | Chee | Journal of Medical Cases
    https://www.journalmc.org/index.php/JMC/article/view/2693/2318
    Wolff-Parkinson-White syndrome (WPWS) is the most common form of ventricular pre-excitation. It is characterized by the presence of an accessory pathway between the atrium and ventricles which allows an alternative route for ventricular depolarization. […] Although most WPWS remain asymptomatic, others are prone to tachyarrhythmias that can be life-threatening. […] The WPW syndrome may remain undetected until it manifests as a paroxysmal supraventricular tachycardia (PSVT) and it comprises around 2.4% of patients presenting with narrow complex tachycardia to the emergency department where it can be successfully treated with restoration of sinus rhythm. […] We also cautioned on the use of atrioventricular (AV) nodal blocking agents like adenosine in patients with pre-existing ECG evidence of pre-excitation and reiterated on the importance of re-examining the ECG following acute management of arrhythmia.
  • #3 Wolff-Parkinson-White Syndrome – Heart Condition | familydoctor.org
    https://familydoctor.org/condition/wolff-parkinson-white-syndrome/
    Can Wolff-Parkinson-White syndrome be prevented or avoided? […] Since you are born with the disorder, there is nothing you can do to prevent or avoid it. However, if you know that certain triggers, such as caffeine, stimulants, or alcohol, change your heart rate, you should avoid those things.
  • #4 Wolff-Parkinson-White (WPW) Syndrome | Heart Care & Cardiology | Bon Secours
    https://www.bonsecours.com/health-care-services/heart-care-cardiology/conditions/wolff-parkinson-white-syndrome
    Prevention is not applicable since WPW syndrome is found at birth or caused by a gene mutation.
  • #5 Wolff-Parkinson-White Syndrome (WPW) – Symptoms, Tests & Treatments – BHF
    https://www.bhf.org.uk/informationsupport/conditions/wolff-parkinson-white-syndrome
    WPW is treated based on your symptoms. […] You have the extra signalling pathway (WPW pattern) but have never had any episodes of fast heart rate (tachycardia). This means that you probably won’t need treatment, and in some young people, the condition disappears or improves as you get older. People in high risk jobs (like a pilot or professional athlete) are usually offered tests to check their risk of having a sudden cardiac arrest. […] The priority is to stop the tachycardia and return the heart rate and rhythm back to normal. There are a few ways that this can be treated: Vagal manoeuvres these are different techniques to help get your heart rate back to normal. They stimulate nerves that slow down your hearts electrical messages. Your doctor will teach you the techniques and let you what ones will be best for you.
  • #6 Wolff-Parkinson-White syndrome – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/400
    Asymptomatic patients can either be monitored or screened to determine whether they have a high-risk accessory pathway, in which case catheter ablation is typically performed. […] Screening to determine whether a patient has a high-risk accessory pathway is recommended for patients who have high-risk occupations, such as school bus drivers or pilots, and also for competitive athletes. […] In patients with asymptomatic pre-excitation who have an accessory pathway demonstrating low risk features on invasive or noninvasive screening, an electrophysiology study and ablation can be considered. […] Symptomatic patients usually undergo catheter ablation as first-line therapy. […] Catheter ablation is highly effective with low risk and can be used either as initial therapy or for patients experiencing side effects or arrhythmia recurrences despite medical treatment.
  • #7 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. […] 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. […] In the case of long-term oral medication, it is recommended to use drugs that impede conduction through accessory pathways (e.g. class IA, IC or III agents). Sodium channel blockers (class IA and IC antiarrhythmics) and certain class III antiarrhythmic medications are particularly effective in slowing down conduction as well as prolonging the refractory period of accessory pathways and atrioventricular node; thus, they are considered optimal for this particular condition.
  • #8 WOLFF-PARKINSON-WHITE DISORDER | Sports Medicine Today
    https://www.sportsmedtoday.com/wolffparkinsonwhite-disorder-va-266.htm
    Wolff-Parkinson-White (WPW) is a disorder of the hearts electrical conduction system. […] WPW is one of the most commonly identified conditions for sudden cardiac death in athletes. […] During sports pre-participation physical exams, the sports medicine physician will ask specifically about symptoms for WPW and other heart disorders and listen to your heart. If necessary, they will perform or recommend an ECG, and withhold exercise until safe. […] Return to play after diagnosis of WPW depends on the type of the extra electrical pathway, as well as activity level of the athlete. If the athlete has a low-risk pathway and participates in a low-risk sport, then a discussion of symptom monitoring, risks and close follow-up can be decided. If the athlete has symptoms, has a high-risk pathway, or participates in high-risk sports, then the athlete needs to see a cardiologist to consider an ablation. After the procedure, if there are no symptoms and there is a normal ECG, an athlete can consider returning to play.
  • #9 Wolff-Parkinson-White Syndrome (WPW) | UpBeat.org – powered by the Heart Rhythm Society
    https://upbeat.org/pediatrics/wolff-parkinson-white-syndrome-wpw
    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. WPW pattern is harmless in many people. But doctors may recommend further evaluation before children with WPW patterns participate in high-intensity sports. […] 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. […] If a patient has a high-risk pathway that has not been ablated, he or she may be restricted from strenuous activities.
  • #10 Management of Wolff-Parkinson-White Syndrome in the Elderly | ECR Journal
    https://www.ecrjournal.com/articles/management-wolff-parkinson-white-syndrome-elderly?language_content_entity=en
    Wolff-Parkinson-White (WPW) syndrome is associated with atrioventricular re-entrant tachycardia, but a patient showing a pre-excitation syndrome on electrocardiogram (ECG) may remain asymptomatic. […] Therefore, assessing children and young adults for WPW syndrome is recommended because of the risk of sudden death linked to this condition. […] However, some studies indicate that a risk of life-threatening arrhythmias remains present in asymptomatic and symptomatic elderly patients with WPW syndrome. […] Taking into account the possible risks linked to this condition, it is important to carry out investigations such as exercise testing and electrophysiological study for WPW syndrome, irrespective of the age of a subject, even if they are asymptomatic, particularly if the patient continues to exercise or needs to undergo extensive surgery. […] Ablation of the accessory pathway is indicated as soon as the patient becomes symptomatic, but this should be performed carefully due to the difficulty of accessing a left bundle of Kent.
  • #11 Prophylactic Ablation in Asymptomatic Patients with Wolff-Parkinson-White Syndrome
    https://brieflands.com/articles/jkums-107589
    Radiofrequency ablation is a highly effective and safe therapy for the management of patients with symptomatic Wolff-Parkinson-White (WPW) syndrome. However, the management of asymptomatic patients with radiofrequency ablation is controversial. This review aimed to investigate whether prophylactic ablation could improve the long-term outcomes of asymptomatic patients with WPW. […] Available evidence suggests that prophylactic ablation is effective in the prevention of arrhythmic events and sudden cardiac death in asymptomatic patients with WPW. However, the risk of asymptomatic patients becoming symptomatic or sudden cardiac death has been reported to be low. Therefore, only high-risk patients are recommended to undergo prophylactic ablation. […] According to the results, prophylactic ablation is effective in the prevention of arrhythmic events in asymptomatic patients with WPW. However, the risk of asymptomatic patients becoming symptomatic or presenting with SCD is relatively low. The benefits of prophylactic ablation in asymptomatic patients are limited. If all the asymptomatic patients are to receive treatment, many patients may be exposed to the risks of electrophysiological studies and catheter ablation. Therefore, these patients should consult their physician about whether benefits such as decreased mortality and increased quality of life outweigh the risks associated with the procedures. In addition, the asymptomatic patients who are classified as high-risk based on electrophysiological examinations or other factors with a low risk of complications based on localization may be recommended to undergo prophylactic ablation.
  • #12 Patient education: Wolff-Parkinson-White syndrome (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/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. […] Preventing recurrence of the tachycardia — There are three major options for preventing recurrence of the tachycardia: radiofrequency ablation, medications, and surgery. The choice is best made with a heart rhythm specialist (cardiac electrophysiologist) who has experience in treating the WPW syndrome.
  • #13 Patient education: Wolff-Parkinson-White syndrome (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/wolff-parkinson-white-syndrome-beyond-the-basics
    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. […] 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.
  • #14 Wolff-Parkinson-White syndrome
    https://www.nhs.uk/conditions/wolff-parkinson-white-syndrome/
    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. […] Techniques and treatments that can help prevent episodes include: […] Lifestyle changes if your episodes are triggered by things such as strenuous exercise or alcohol, avoiding these may help. Your cardiologist can advise you about this. […] 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. […] Medication daily tablets of medication such as amiodarone can help prevent episodes by slowing down the electrical impulses in your heart.
  • #15 Irish Heart Wolff-Parkinson-White syndrome – Irish Heart
    https://irishheart.ie/heart-and-stroke-conditions-a-z/wolff-parkinson-white-syndrome/
    If treatment is needed, the goal is to slow a fast heart rate when it occurs and to prevent future episodes. […] People who have episodes of SVT can be treated with long-term medication or can undergo radiofrequency catheter ablation which is curative in 95 to 98% of cases.
  • #16 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/resource/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. […] 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. […] Members from PACES and HRS formed a committee that performed a formal literature review and then weighed the strength of the evidence for or against an observational strategy or a particular procedure in the evaluation and management of asymptomatic patients with WPW.
  • #17 Wolff-Parkinson-White Syndrome (WPW) – Treatment abroad
    https://www.gsdinternational.com/conditions/wolff-parkinson-white-syndrome-wpw
    Pre-excitation therapy has four different objectives: 1. To cure symptoms; 2. Prevent the risk of sudden death; 3. Prevent or cure, in case of chronic tachycardia, the deterioration of ventricular function; 4. Allow subjects with pre-excitement to carry out all activities that are otherwise prohibited by law when there is pre-excitement on the ECG, for example in competitive sports or jobs in professions at risk. […] In particular, in asymptomatic subjects who present only with the WPW pattern in the absence of arrhythmic symptoms, once specific risk factors are excluded through non-invasive and possibly invasive tests, no treatment is necessary, as the risk of developing dangerous arrhythmias is very limited. […] Radiofrequency ablation (RF) is the procedure of choice for patients with symptomatic WPW syndrome and for those who respond poorly to medical therapy.
  • #18 A Case of Supraventricular Tachycardia Associated With Wolff-Parkinson-White Syndrome | Chee | Journal of Medical Cases
    https://www.journalmc.org/index.php/JMC/article/view/2693/2318
    The patient was subsequently referred to an electrophysiologist for radiofrequency ablation to prevent recurrent dysrhythmias or a sudden cardiac death. […] Unstable patient with WPW syndrome related atrial fibrillation is best managed with synchronized cardioversion. […] Medications with significant AV nodal blocking effects should be avoided in all instances. […] Such agents can promote enhanced conduction via the accessory pathway resulting in preferential conduction down the accessory pathway precipitating an increasingly rapid ventricular rate as well as a possible cardiovascular collapse. […] Since the arrhythmias may be life-threatening, administration of adenosine should only be conducted when there is rapid access to defibrillation and other anti-arrhythmic agents. […] This case also highlights the importance of following up patients following successful management of arrhythmia/SVT.
  • #19 Wolff Parkinson White Syndrome – The Cardiology Advisor
    https://www.cancertherapyadvisor.com/home/decision-support-in-medicine/cardiology/wolff-parkinson-white-syndrome-diagnosis-and-treatment/
    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. […] Avoiding AV node blocking medications such as calcium channel blockers and beta blockers is essential as these medications can exacerbate symptoms. […] In the case of long-term oral medication, it is recommended to use drugs that impede conduction through accessory pathways (e.g. class IA, IC or III agents). Sodium channel blockers (class IA and IC antiarrhythmics) and certain class III antiarrhythmic medications are particularly effective in slowing down conduction as well as prolonging the refractory period of accessory pathways and atrioventricular node; thus, they are considered optimal for this particular condition.
  • #20 Atrial Fibrillation and Wolff-Parkinson-White Syndrome (WPW Syndrome) – Cardiovascular Disorders – MSD Manual Professional Edition
    https://www.msdmanuals.com/professional/cardiovascular-disorders/specific-cardiac-arrhythmias/atrial-fibrillation-and-wolff-parkinson-white-syndrome-wpw-syndrome
    The treatment of choice for Wolff-Parkinson-White syndrome with atrial fibrillation is direct current cardioversion (1). […] Do not give digoxin, adenosine, or nondihydropyridine calcium channel blockers (eg, verapamil, diltiazem) to patients with atrial fibrillation and Wolff-Parkinson-White syndrome because these medications may trigger ventricular fibrillation.
  • #21 Wolff Parkinson White Syndrome – The Cardiology Advisor
    https://www.cancertherapyadvisor.com/home/decision-support-in-medicine/cardiology/wolff-parkinson-white-syndrome-diagnosis-and-treatment/
    Digitalis, beta blockers, and calcium channel blockers are effective in inhibiting conduction through the AV node; however, they do not impede conduction over most accessory pathways. On the contrary, these drugs may actually reduce the refractory period of an accessory pathway which could lead to a faster ventricular rate (and a risk of hemodynamic collapse) if administered to individuals suffering from WPW syndrome who experience atrial flutter.
  • #22 Wolff-Parkinson-White Syndrome (WPW) – Symptoms, Tests & Treatments – BHF
    https://www.bhf.org.uk/informationsupport/conditions/wolff-parkinson-white-syndrome
    Medication to control the speed of the electrical messages being sent to your heart or to take during an episode. […] Lifestyle choices you may be told to avoid things that could trigger an episode. This can include having less alcohol and caffeine and avoiding intense exercise, like running or competitive sports. Your doctor can answer any questions you might have. […] Catheter ablation this procedure is commonly used to destroy the extra part of the heart causing the problems in the heart’s electrical system. It works with most people and is very effective. […] Even if you dont need treatment, its important to go to all your appointments with your doctor or specialist. They will regularly check how your heart is working to keep you healthy. If your specialist thinks you need treatment, theyll discuss the options with you.
  • #23 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. […] Asymptomatic WPW syndrome doesn’t necessarily require treatment, but you will need to visit a doctor for regular checkups. […] Some treatments and lifestyle changes may help prevent future WPW syndrome episodes. These include: undergoing catheter ablation, a potentially curative procedure and the most common treatment for WPW syndrome, works to destroy the extra heart muscle fiber; taking antiarrhythmic drugs; avoiding high amounts of caffeine or alcohol; making exercise modifications, as more strenuous workouts can contribute to WPW syndrome symptoms; managing stress. […] However, if your symptoms are infrequent and usually mild, a doctor may recommend lifestyle changes and regular checkups to help monitor your condition.
  • #24 Wolff-Parkinson-White Syndrome | Longmore Clinic
    https://longmoreclinic.org/wolff-parkinson-white-syndrome-understanding-and-managing-the-condition/
    WPW syndrome is a congenital condition, meaning it is present at birth. The exact cause of the extra electrical pathway is not known. However, it is believed to develop during the early stages of fetal heart development. […] Since WPW syndrome is a congenital condition, it cannot be prevented. However, individuals with WPW syndrome can take steps to reduce the risk of experiencing symptoms: […] Avoid triggers: Certain factors like alcohol, caffeine, stress, or lack of sleep can trigger SVT episodes. […] Manage other health conditions: Addressing related health issues like high blood pressure or thyroid problems can help reduce the risk of arrhythmias.
  • #25 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=134&contentid=228
    There is no way to prevent WPW. But you can prevent complications by learning as much as you can about the disease. Work closely with your cardiologist (healthcare provider who specializes in diseases of the heart) to find the best treatment. Ask them to teach you how to do a Valsalva maneuver. […] Here are some helpful lifestyle suggestions: […] Don’t smoke. […] Work with your healthcare provider to keep conditions like high cholesterol and high blood pressure under control. […] Eat a heart-healthy diet. […] Maintain a healthy weight. […] Get regular exercise. […] Manage stress. […] Tell your healthcare provider right away if you have symptoms of WPW.
  • #26 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). […] WPW can develop for no known reason. Congenital heart disease or a family history of WPW can increase your risk. […] Vagal maneuvers are methods that can slow your heartbeat during a WPW episode. Your healthcare provider may recommend you cough, gag, hold your breath, or put ice on your face. […] Smoking narrows blood vessels in your heart. Narrow blood vessels make your heart work harder. Smoking can also damage your heart. Ask your healthcare provider for information if you currently smoke and need help quitting. […] Exercise can cause episodes of irregular heartbeats. Ask your healthcare provider how much exercise you need each day and which exercises are safe for you. Ask if you can play sports. […] Caffeine can make your heartbeat faster.
  • #27 Wolff-Parkinson-White Syndrome (WPW) – Symptoms, Tests & Treatments – BHF
    https://www.bhf.org.uk/informationsupport/conditions/wolff-parkinson-white-syndrome
    WPW is treated based on your symptoms. […] You have the extra signalling pathway (WPW pattern) but have never had any episodes of fast heart rate (tachycardia). This means that you probably won’t need treatment, and in some young people, the condition disappears or improves as you get older. People in high risk jobs (like a pilot or professional athlete) are usually offered tests to check their risk of having a sudden cardiac arrest. […] The priority is to stop the tachycardia and return the heart rate and rhythm back to normal. There are a few ways that this can be treated: Vagal manoeuvres these are different techniques to help get your heart rate back to normal. They stimulate nerves that slow down your hearts electrical messages. Your doctor will teach you the techniques and let you what ones will be best for you.
  • #28
    https://www.aurorahealthcare.org/services/heart-vascular/conditions/wolff-parkinson-white-syndrome
    To treat Wolff-Parkinson-White syndrome, your care plan will include ways to slow your rapid heart rate and prevent future episodes. We may recommend: […] Medications to control arrhythmia […] Vagal maneuvers, simple physical movements to slow your heartbeat, like coughing, bearing down or placing an ice pack on your face […] Electrical cardioversion, where we deliver small electrical pulses to your heart to restore a normal rhythm […] Cardiac ablation, where we use gentle burning or freezing to treat the areas of your heart causing the rapid rhythm.
  • #29 Wolff-Parkinson-White Syndrome | ColumbiaDoctors
    https://www.columbiadoctors.org/treatments-conditions/wolff-parkinson-white-syndrome
    There is no way to prevent WPW, but you can prevent complications by learning as much as you can about the disease and working closely with your cardiologist to find the best treatment. […] Ask your doctor to teach you how to do a Valsalva maneuver. […] Here are helpful lifestyle suggestions: […] Work with your doctor to keep conditions like high cholesterol and high blood pressure under control. […] Eat a heart-healthy diet. […] Maintain a healthy weight. […] Get regular exercise. […] Tell your doctor know right away if you have symptoms of WPW.
  • #30 Wolff Parkinson White Syndrome: Which Best Perioperative Strategy?
    https://www.gavinpublishers.com/article/view/wolff-parkinson-white-syndrome-which-best-perioperative-strategy
    In Wolff-Parkinson-White patients, general anesthesia can be safe taking adequate monitoring and precautions. […] Radiofrequency ablation remains the best method for prevention therapy. It presents a success rate of 90% demonstrating the best long-term method for final therapy. […] Presence of WPW alone does not warrant invasive monitoring or pre-emptive placement of cardioversion pads. […] Appropriate management of arrhythmias is critical and must be performed in a timely manner. WPW tachycardias are unpredictable and life threatening and represent a challenging scenario for the anaesthesiologist. […] Proper management in the perioperative setting includes adequate prevention of pain, anxiety, and stress response (secondary to intubation, extubation, hypovolemia, and a lighter anaesthesia plan). […] In conclusion, our case is intended to emphasize, once again, how adequate medical knowledge coupled with opportune precautions that avoid a sympathetic rise are the key to a successful outcome in patients with WPW syndrome undergoing surgery.
  • #31 Wolff-Parkinson-White (WPW) Syndrome: Symptoms and Causes
    https://lonestarneurology.net/blog/wolff-parkinson-white-syndrome/
    In only 1% of cases, WPW syndrome can lead to life-threatening ventricular fibrillation. […] If there is a risk, surgical treatment is recommended intracardiac radiofrequency ablation. […] But not all patients need it. For most people, Wolff-Parkinson-White syndrome has a comforting prognosis and is mild. […] They take antiarrhythmic drugs as prescribed by a doctor for the prevention and relief of tachycardia paroxysms. […] 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 (even if they are not worried about the symptoms). […] If signs of pathology appear, you need to choose the right treatment immediately. […] Persons who are related to a patient with WPW syndrome are advised to undergo a routine examination to exclude the development of this pathology.
  • #32 Wolff-Parkinson-White Syndrome
    https://healthlibrary.brighamandwomens.org/Library/PreventionGuidelines/134,228
    There is no way to prevent WPW. But you can prevent complications by learning as much as you can about the disease. Work closely with your cardiologist (healthcare provider who specializes in diseases of the heart) to find the best treatment. Ask them to teach you how to do a Valsalva maneuver. […] Here are some helpful lifestyle suggestions: […] Tell your healthcare provider right away if you have symptoms of WPW.
  • #33 Wolff-Parkinson-White Syndrome (WPW) Causes, Symptoms, Diagnosis, Treatment
    https://www.medicinenet.com/wolff-parkinson-white_syndrome/article.htm
    Wolff-Parkinson-White syndrome cannot be prevented but can be treated in the vast majority of people. […] It is important to seek out a cardiologist or electrophysiologist if you have remaining questions or are in need of treatment.
  • #34 Wolff-Parkinson-White Syndrome: What Treatment?
    https://www.patientcareonline.com/view/wolff-parkinson-white-syndrome-what-treatment
    Drugs, surgery, and radiofrequency ablation have been used to prevent the recurrence of tachycardia in patients with WPW syndrome. […] Surgical ablation offers an almost 100% cure rate. However, radiofrequency ablation is less invasive, more cost-effective, and almost as successful, with cure rates ranging from 90% to 95%. […] Avoid chronic pacing in patients with WPW syndrome; it may lead to atrial fibrillation.
  • #35 Wolff-Parkinson-White Syndrome
    https://awog.org/womens-health/health-library?DOCHWID=te7181abc
    The goals of long-term treatment are to prevent episodes, relieve symptoms, and prevent future problems. […] You and your doctor can decide what type of treatment is right for you. Your options may include medicines or a procedure called catheter ablation to destroy the extra electrical pathway.