scholarly journals Wolff–Parkinson–White syndrome: Implications for an anaesthesiologist

2017 ◽  
Vol 04 (01) ◽  
pp. 049-052 ◽  
Author(s):  
Vinaya Udaybhaskar ◽  
C. Sreemayee ◽  
Prasad Ingley
Keyword(s):  
General Anaesthesia ◽  
Electrical Conduction ◽  
Neurosurgical Procedure ◽  
White Syndrome ◽  
Wpw Syndrome ◽  
Conduction Abnormality ◽  
Cardiac Illness ◽  
Wolff Parkinson White Syndrome

AbstractWolff–Parkinson–White (WPW) syndrome is an electrical conduction abnormality of the heart that can induce potentially fatal arrhythmias at intermittent intervals. The induction and maintenance of general anaesthesia for a patient with WPW syndrome are risky due to the triggering capability of arrhythmias by various drugs and instrumentation. We hereby present the case of a 28-year-old male with previous cardiac illness, admitted for neurosurgical procedure, with drug-controlled WPW syndrome. The pre-operative optimisation, intraoperative scrutiny and vigil, along with readiness of standby medications and defibrillator made the ingress and egress from general anaesthesia uneventful. Thus, the potential dangers of WPW syndrome can be circumvented with watchful preparedness and meticulous monitoring.

scholarly journals Wolff-Parkinson-White Syndrome Mimics a Conduction Disease

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
S. Marrakchi ◽  
I. Kammoun ◽  
S. Kachboura
Keyword(s):  
Electrophysiological Study ◽  
Accessory Pathway ◽  
Pacemaker Implantation ◽  
White Syndrome ◽  
Wpw Syndrome ◽  
Conduction Abnormality ◽  
Conduction Disorders ◽  
Associated Conditions ◽  
Wolff Parkinson White Syndrome ◽  
Cardiac Care Unit

Background. It is important to recognise Wolff-Parkinson-White (WPW) syndrome in electrocardiograms (ECG), as it may mimic ischaemic heart disease, ventricular hypertrophy, and bundle branch block. Recognising WPW syndrome allows for risk stratification, the identification of associated conditions, and the institution of appropriate management.Objective. The present case showed that electrophysiological study is indicated in patients with abnormal ECG and syncope.Case Report. A 40-year-old man with Wolff-Parkinson-White syndrome was presented to emergency with syncope. A baseline ECG was a complete right branch block and posterior left hemiblock. He was admitted to the cardiac care unit for pacemaker implantation. The atypical figure of complete right branch block and posterior left hemiblock was thought to be a “false positive” of conduction abnormality. But the long anterograde refractory period of the both accessory pathway and atrioventricular conduction may cause difficulty in diagnosing Wolff-Parkinson-White syndrome,Conclusion. A Wolff-Parkinson-White Syndrome may mimic a conduction disease. No reliable algorithm exists for making an ECG diagnosis of a preexcitation syndrome with conduction disorders. This can lead to diagnostic and therapeutic dilemmas in the context of syncope.

PROGNOSTIC FACTORS OF WOLFF-PARKINSON-WHITE SYNDROME IN CHILDREN

2021 ◽  
Vol 5 (1) ◽  
pp. 1128-1136
Author(s):  
E. Zasim ◽  
◽  
V. Strogiy ◽  
Keyword(s):  
Prognostic Factors ◽  
Family History ◽  
Sinus Node ◽  
Left Ventricular ◽  
Sinus Node Dysfunction ◽  
White Syndrome ◽  
Wpw Syndrome ◽  
Paroxysmal Tachycardia ◽  
History Of ◽  
Wolff Parkinson White Syndrome

Objective: to determine the prognostic factors determining the severity of Wolff-Parkinson-White syndrome (WPW) in children. Methods: a retrospective analysis of the course of the disease was performed in 108 children with WPW syndrome aged 13.6 (12-16) years. Depending on the number of attacks of paroxysmal tachycardia (PT), all children were divided into 2 groups: group A consisted of 47 children (43.5%) with a history of no more than three attacks of PT and they were rare; group B included 61 children (56.5%) with frequent (more than once a month) attacks of PT, more than four in the history. We studied: the family history, the clinical picture of the disease, the nature of paroxysmal tachycardia, the effectiveness of treatment, and the results of instrumental studies. Using the method of mathematical modeling, the informative value of each feature was determined, and the diagnostic value was determined. Results: age and gender differences in the development of WPW syndrome in children were established. The presence of a family history of ECG signs of ventricular preexcitation is a reliable sign (p=0.02), contributing to more frequent PT attacks. More frequent development of PT attacks was noted in patients with mitral valve prolapse (p=0.03) and additional chords in the left ventricular cavity (p=0.001). In the group with frequent PT attacks, signs of sinus node dysfunction were detected more often (<0.001). According to the echocardiographic study, children with frequent PT attacks were more likely to have disorders in the form of thickening of the interventricular septum in the diastole (p=0.010) and signs of diastolic dysfunction of the right ventricle (p = 0.010). Conclusion: The factors of prognostic value include: male gender, the presence of the expressed symptoms of the attack of PT and PT frequency more than once per month, low vagal efficiency on relieving the attack, a history of frequent attacks, a family history of ECG characteristics of premature ventricular excitation, the presence of signs of sinus node dysfunction during 24 hours without the attack and the signs of arrhythmogenic myocardial dysfunction by echocardiography.

Wolff-Parkinson-White Syndrome

1992 ◽  
Vol 3 (1) ◽  
pp. 180-189 ◽  
Author(s):  
Joanne Hughes Morscher
Keyword(s):  
Sudden Cardiac Arrest ◽  
Cardiac Conduction ◽  
Treatment Modalities ◽  
White Syndrome ◽  
Wpw Syndrome ◽  
Life Threatening ◽  
History Of ◽  
Diagnostic Modalities ◽  
Supraventricular Tachycardias ◽  
Wolff Parkinson White Syndrome

Wolff-Parkinson-White (WPW) syndrome is a cardiac conduction disorder that presents with potentially life-threatening consequences. Wolff-Parkinson-White syndrome-induced dysrhythmias account for 20% of all supraventricular tachycardias that occur in the general population. Clinical presentations range from no symptoms to a sudden cardiac arrest. The risk of sudden death is always present with WPW syndrome, and it is the motivating force in the evaluation and treatment of this syndrome. Current diagnostic modalities are accurate in identifying patients with WPW syndrome, but lack the sensitivity to predict sudden cardiac death. This article reviews the history of WPW syndrome, as well as its general characteristics, diagnostic criteria, treatment modalities, and nursing implications

scholarly journals Hypertrophic Cardiomyopathy and Wolff-Parkinson-White Syndrome in a Young African Soldier with Recurrent Syncope

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Mohammed Abdullahi Talle ◽  
Faruk Buba ◽  
Aimé Bonny ◽  
Musa Mohammed Baba
Keyword(s):  
Atrial Fibrillation ◽  
Ventricular Tachycardia ◽  
Hypertrophic Cardiomyopathy ◽  
General Population ◽  
Supraventricular Tachycardia ◽  
White Syndrome ◽  
Wpw Syndrome ◽  
The Individual ◽  
Common Manifestation ◽  
Wolff Parkinson White Syndrome

Syncope is a common manifestation of both hypertrophic cardiomyopathy (HCM) and Wolff-Parkinson-White (WPW) syndrome. The most common arrhythmia in HCM is ventricular tachycardia (VT) and atrial fibrillation (AF). While preexcitation provides the substrate for reentry and supraventricular tachycardia (SVT), AF is more common in patients with preexcitation than the general population. Concurrence of HCM and WPW has been reported in many cases, but whether the prognosis or severity of arrhythmia is different compared to the individual disorders remains unsettled. We report a case of HCM and Wolff-Parkinson-White (WPW) syndrome in a 28-year-old male Nigerian soldier presenting with recurrent syncope and lichen planus.

scholarly journals Case Report: m.13513 G>A Mutation in a Chinese Patient With Both Leigh Syndrome and Wolff-Parkinson-White Syndrome

2021 ◽  
Vol 9 ◽  
Author(s):  
Jian-Min Liang ◽  
Cui-Juan Xin ◽  
Guang-Liang Wang ◽  
Xue-Mei Wu
Keyword(s):  
Mitochondrial Dna ◽  
Case Report ◽  
Respiratory Failure ◽  
Developmental Delay ◽  
Nuclear Dna ◽  
Leigh Syndrome ◽  
Chinese Patient ◽  
White Syndrome ◽  
Wpw Syndrome ◽  
Wolff Parkinson White Syndrome

A number of causative mutations in mitochondrial and nuclear DNA have been identified for Leigh syndrome, a neurodegenerative encephalopathy, including m. 8993 T&gt;G, m.8993 T&gt;C, and m.3243A&gt;G mutations in the MTATP6, MTATP6, and MT-TL1 genes, respectively, which have been reported in Leigh syndrome patients in China. The m.13513 G&gt;A mutation has been described only a few times in the literature and not previously reported in China. Here we report the case of a 15-month-old boy who presented with ptosis and developmental delay and was diagnosed with Leigh syndrome and well as Wolff-Parkinson-White (WPW) syndrome. The m.13513 G&gt;A mutation was found in DNA from blood. He was intubated due to respiratory failure and died at 23 months of age. The m.13513 G&gt;A mutation in the ND5 gene of mitochondrial DNA is associated with Leigh syndrome and WPW syndrome; however, this is the first report of this mutation in a patient in China, highlighting the geographical and racial variability of Leigh syndrome.

scholarly journals Quetiapine and Wolff-Parkinson-White Syndrome

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Michael Chen ◽  
Hassaan Gomaa ◽  
Alonso Cortez-Resendiz ◽  
Christopher Martin ◽  
Andrew Francis ◽  
...  
Keyword(s):  
Adverse Effects ◽  
Side Effect ◽  
Present Report ◽  
Cardiac Complications ◽  
Qtc Prolongation ◽  
White Syndrome ◽  
Wpw Syndrome ◽  
Wolff Parkinson White Syndrome

Quetiapine is occasionally associated with cardiovascular adverse effects such as QTc prolongation. QTc prolongation is a side effect that requires monitoring in order to avoid more serious cardiac complications. One particular understudied area is the potential for antipsychotics to elicit electroconduction abnormalities in patients with Wolff-Parkinson-White (WPW) Syndrome. In the present report, we describe a case of quetiapine overdose in a patient with WPW.

scholarly journals A case of Wolff–Parkinson–White syndrome in which two-dimensional speckle-tracking echocardiography was useful for identifying the location of the accessory atrioventricular pathway

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Junya Tanabe ◽  
Nobuhide Watanabe ◽  
Kazuto Yamaguchi ◽  
Kazuaki Tanabe
Keyword(s):  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Two Dimensional ◽  
White Syndrome ◽  
Wpw Syndrome ◽  
Non Invasive ◽  
Case Summary ◽  
Regional Strain ◽  
Accessory Atrioventricular Pathway ◽  
Wolff Parkinson White Syndrome

Abstract Background In Wolff–Parkinson–White (WPW) syndrome, accessory atrioventricular pathways (AP) result in abnormal pre-excitation around the atrioventricular annuli and produce a dyssynchronous contraction of cardiac chambers. Identification of the AP affects the outcome of catheter ablation. Case summary We report a case of WPW syndrome and paroxysmal atrial fibrillation in a 65-year-old man. Wolff–Parkinson–White syndrome Type B was suspected from lead V1, but when two-dimensional speckle-tracking echocardiography (2D-STE) was performed, a decrease in regional strain was observed in the anterior basal wall of the left ventricle. We identified the earliest site of atrioventricular conduction, and improvement in the regional strain at the site of ablation was observed after successful AP ablation. Discussion Various echocardiographic techniques have been investigated as non-invasive alternatives for AP localization. Longitudinal 2D-STE accurately identified contractile abnormalities associated with the AP, allowing us to non-invasively estimate the localization of the AP in WPW syndrome.

scholarly journals Ablation in patients with Ebstein Anomaly and Wolff Parkinson White Syndrome

EP Europace ◽  
2021 ◽  
Vol 23 (Supplement_3) ◽  
Author(s):  
A Cueva-Parra ◽  
G Bustillos-Garcia ◽  
JA Fernandez-Domenech ◽  
J Gomez-Flores ◽  
MF Marquez ◽  
...  
Keyword(s):  
Success Rate ◽  
Electroanatomical Mapping ◽  
Ebstein Anomaly ◽  
White Syndrome ◽  
Wpw Syndrome ◽  
Accessory Pathways ◽  
Acute Success ◽  
The Mean ◽  
The Right ◽  
Wolff Parkinson White Syndrome

Abstract Funding Acknowledgements Type of funding sources: None. Background - Introduction: Ablation in patients with Ebstein Anomaly (EA) and Wolff Parkinson White syndrome (WPW) is challenging due to the complex anatomy and the presence of multiple accessory pathways (AP). Objectives Report the results of our recent experience of ablation in patients with EA and WPW syndrome. Methods We conducted a retrospective review of the cases of EA and WPW syndrome, which were taken to ablation in our center between 2015 and 2020. Results We found that in the indicated period 30 electrophysiological studies and ablations had been performed in 26 patients, 53.8% were males and the mean age at the time of the study was 20.6 ± 9.1 years, the mean tricuspid septal valve attachment was 44.5 ± 17.7%. Regarding the procedures, 15 were conventional studies (50%) and 15 (50%) were performed with electroanatomical mapping. We used intracardiac echocardiogram (ICE) in 10 cases (33.3%). The acute success rate was 85.7% and in the follow-up 3 patients (10%) presented recurrence. Only one patient presented a major complication, which was a complete AV block. There was a tendency to improve the acute success with the use of electroanatomical mapping in comparation with conventional studies (93.3% vs 66.6%, p = 0.068), and with the use of ICE acute success was significantly improved (100% vs 70%, p = 0.04). Seven patients presented multiple accessory pathways (26.9%). The most frequent location was the right posterolateral with 61.53%, followed by the right posteroseptal with 26.9% and the right lateral with 19.2%. Conclusions The ablation in patients with EA and WPW syndrome constitutes a challenge, we found that the use of electroanatomical mapping and the use of ICE could improve the acute success rate. New studies are needed to demonstrate the usefulness of these techniques to improve the acute success rate and to reduce the recurrence rate. ProceduresProcedures (N = 30)N%Conventional procedures1550.0Electroanatomical mapping1550.0Intracardiac echocardiogram1033.3Acute success2485.7Recurrence310.0Major complication13.3Descriptive table of our experience in ablation of patients with ED and WPW syndrome.Abstract Figure. Location of the accessory pathways

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