Wide QRS arrhythmia: what is the diagnosis?
Clinical Introduction A 45-year-old man with history of unspecified intermittent arrhythmia presented to the ED with palpitations and dizziness. He was conscious with systolic BP of 90 mm Hg and HR of 180 to 220 beats/minute. The remaining physical examination was unremarkable. Figure 1 exhibits his initial ECG. Question What is the most probable diagnosis? Ventricular tachycardia Pre-excited atrial fibrillation Antidromic atrioventricular re-entrant tachycardia Aberrant conduction during atrial fibrillation AnswerCase resolution The ECG shows a wide QRS complex tachycardia with irregular RR intervals, delta waves and no P...
Source: Emergency Medicine Journal - January 20, 2022 Category: Emergency Medicine Authors: Oliveira, C. C., Rocha, S., Magalhaes, S. Tags: EMJ Image Challenge Source Type: research

Wolff ‐parkinson‐white syndrome: review of published cases associated with head and neck/oral and maxillofacial procedures
ConclusionsPractitioners should be familiar with the clinical features of WPWS and be prepared to manage emergent cardiovascular deterioration. Electrocardiogram monitoring of this cohort is advised during head and neck/oral and maxillofacial surgical procedures, particularly involving general anesthesia. Breakthrough episodes of WPWS may still occur in patients who have previously undergone cardioconversion. (Source: Oral Surgery)
Source: Oral Surgery - January 12, 2022 Category: ENT & OMF Authors: John K. Brooks, Kathryn E. Howland, Luke T. Coury, Donita Dyalram Tags: REVIEW Source Type: research

Treatment of Refractory Schizophrenia With Clozapine in a Patient With Wolff-Parkinson-White Syndrome
No abstract available (Source: Journal of Clinical Psychopharmacology)
Source: Journal of Clinical Psychopharmacology - December 24, 2021 Category: Psychiatry Tags: Letters to the Editors – Case Reports Source Type: research

A Frequent Observation of Wolff-Parkinson-White Syndrome and Fasciculoventricular Pathways in Patients With Danon Disease
CONCLUSIONS: Danon disease causes a malignant clinical course characterized by early death caused by heart failure in both genders and progressive ECG changes as patients age. The pre-excited ECG pattern is related to FVPs and WPW, which is suggestive of extensive cardiac involvement.PMID:34937809 | DOI:10.1253/circj.CJ-21-0572 (Source: Circulation Journal)
Source: Circulation Journal - December 23, 2021 Category: Cardiology Authors: Xin Chen Lijun Fu Jiqiang He Rong Bai Shaoying Zeng Hongtao Liao Hai Deng Yumei Xue Shulin Wu Yang Liu Source Type: research

A Frequent Observation of Wolff-Parkinson-White Syndrome and Fasciculoventricular Pathways in Patients With Danon Disease
CONCLUSIONS: Danon disease causes a malignant clinical course characterized by early death caused by heart failure in both genders and progressive ECG changes as patients age. The pre-excited ECG pattern is related to FVPs and WPW, which is suggestive of extensive cardiac involvement.PMID:34937809 | DOI:10.1253/circj.CJ-21-0572 (Source: Circulation Journal)
Source: Circulation Journal - December 23, 2021 Category: Cardiology Authors: Xin Chen Lijun Fu Jiqiang He Rong Bai Shaoying Zeng Hongtao Liao Hai Deng Yumei Xue Shulin Wu Yang Liu Source Type: research

A Frequent Observation of Wolff-Parkinson-White Syndrome and Fasciculoventricular Pathways in Patients With Danon Disease
CONCLUSIONS: Danon disease causes a malignant clinical course characterized by early death caused by heart failure in both genders and progressive ECG changes as patients age. The pre-excited ECG pattern is related to FVPs and WPW, which is suggestive of extensive cardiac involvement.PMID:34937809 | DOI:10.1253/circj.CJ-21-0572 (Source: Circulation Journal)
Source: Circulation Journal - December 23, 2021 Category: Cardiology Authors: Xin Chen Lijun Fu Jiqiang He Rong Bai Shaoying Zeng Hongtao Liao Hai Deng Yumei Xue Shulin Wu Yang Liu Source Type: research

A Frequent Observation of Wolff-Parkinson-White Syndrome and Fasciculoventricular Pathways in Patients With Danon Disease
CONCLUSIONS: Danon disease causes a malignant clinical course characterized by early death caused by heart failure in both genders and progressive ECG changes as patients age. The pre-excited ECG pattern is related to FVPs and WPW, which is suggestive of extensive cardiac involvement.PMID:34937809 | DOI:10.1253/circj.CJ-21-0572 (Source: Circulation Journal)
Source: Circulation Journal - December 23, 2021 Category: Cardiology Authors: Xin Chen Lijun Fu Jiqiang He Rong Bai Shaoying Zeng Hongtao Liao Hai Deng Yumei Xue Shulin Wu Yang Liu Source Type: research

Incidence of Life-Threatening Events in Children with Wolff-Parkinson-White Syndrome: Analysis of a Large Claims Database
Previous estimates of life-threatening event (LTE) risk in Wolff-Parkinson-White (WPW) are limited by selection bias inherent to tertiary referral-based cohorts. (Source: Heart Rhythm)
Source: Heart Rhythm - December 9, 2021 Category: Cardiology Authors: Christopher M. Janson, Marisa E. Millenson, Oluwatimilehin Okunowo, Dingwei Dai, Zane Christmyer, Reina Bianca Tan, V. Ramesh Iyer, Maully J. Shah, Michael L. O'Byrne Source Type: research

Coronary sinus diverticulum and partial left-sided inferior vena cava in a patient with atrial fibrillation and Wolff-Parkinson-White syndrome
S Yadav, Z Shaikh, A Mahajan, Y LokhandwalaJournal of Postgraduate Medicine 2021 67(4):247-248 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - November 26, 2021 Category: Internal Medicine Authors: S Yadav Z Shaikh A Mahajan Y Lokhandwala Source Type: research

Pediatric T-wave memory after accessory pathway ablation in Wolff-Parkinson-White syndrome
Altered ventricular depolarization due to manifest accessory pathway conduction, Wolff-Parkinson-White syndrome, leads to repolarization abnormalities that persist after pathway ablation. The term T-wave memory (TWM) has been applied to these changes, as the post-ablation T-wave vector “remembers” the preexcited QRS vector. In adults, these abnormalities can be misinterpreted as ischemia leading to unnecessary interventions. To date, there have been no comprehensive studies evaluating this phenomenon in the pediatric population. (Source: Heart Rhythm)
Source: Heart Rhythm - November 9, 2021 Category: Cardiology Authors: Karyn M. Austin, Mark E. Alexander, John K. Triedman Source Type: research

Partial atrioventricular septal defect associated with wolff-parkinson-white syndrome: Perioperative dysrhythmias during the intracardiac repair
Ann Card Anaesth. 2021 Oct-Dec;24(4):479-482. doi: 10.4103/aca.ACA_49_20.ABSTRACTWolff-Parkinson-White syndrome (WPW) is rarely seen in association with atrioventricular septal defect. Although paroxysm's of palpitation due to supraventricular tachycardia can occur in these patients, rare, fatal, ventricular dysrhythmias can also occur. Herein, we report the case of a 20-year-old male patient with partial atrioventricular septal defect and WPW syndrome for intracardiac repair, developing intraoperative Torsades de pointes and postoperative cardiac arrest, adding to the difficulty in overall patient management.PMID:34747759...
Source: Annals of Cardiac Anaesthesia - November 8, 2021 Category: Anesthesiology Authors: Anand Mammen Prabhat Tewari Pallavi Horo Shantanu Pande Source Type: research

Partial atrioventricular septal defect associated with wolff-parkinson-white syndrome: Perioperative dysrhythmias during the intracardiac repair
Ann Card Anaesth. 2021 Oct-Dec;24(4):479-482. doi: 10.4103/aca.ACA_49_20.ABSTRACTWolff-Parkinson-White syndrome (WPW) is rarely seen in association with atrioventricular septal defect. Although paroxysm's of palpitation due to supraventricular tachycardia can occur in these patients, rare, fatal, ventricular dysrhythmias can also occur. Herein, we report the case of a 20-year-old male patient with partial atrioventricular septal defect and WPW syndrome for intracardiac repair, developing intraoperative Torsades de pointes and postoperative cardiac arrest, adding to the difficulty in overall patient management.PMID:34747759...
Source: Annals of Cardiac Anaesthesia - November 8, 2021 Category: Anesthesiology Authors: Anand Mammen Prabhat Tewari Pallavi Horo Shantanu Pande Source Type: research

Partial atrioventricular septal defect associated with wolff-parkinson-white syndrome: Perioperative dysrhythmias during the intracardiac repair
Ann Card Anaesth. 2021 Oct-Dec;24(4):479-482. doi: 10.4103/aca.ACA_49_20.ABSTRACTWolff-Parkinson-White syndrome (WPW) is rarely seen in association with atrioventricular septal defect. Although paroxysm's of palpitation due to supraventricular tachycardia can occur in these patients, rare, fatal, ventricular dysrhythmias can also occur. Herein, we report the case of a 20-year-old male patient with partial atrioventricular septal defect and WPW syndrome for intracardiac repair, developing intraoperative Torsades de pointes and postoperative cardiac arrest, adding to the difficulty in overall patient management.PMID:34747759...
Source: Annals of Cardiac Anaesthesia - November 8, 2021 Category: Anesthesiology Authors: Anand Mammen Prabhat Tewari Pallavi Horo Shantanu Pande Source Type: research

Partial atrioventricular septal defect associated with wolff-parkinson-white syndrome: Perioperative dysrhythmias during the intracardiac repair
Ann Card Anaesth. 2021 Oct-Dec;24(4):479-482. doi: 10.4103/aca.ACA_49_20.ABSTRACTWolff-Parkinson-White syndrome (WPW) is rarely seen in association with atrioventricular septal defect. Although paroxysm's of palpitation due to supraventricular tachycardia can occur in these patients, rare, fatal, ventricular dysrhythmias can also occur. Herein, we report the case of a 20-year-old male patient with partial atrioventricular septal defect and WPW syndrome for intracardiac repair, developing intraoperative Torsades de pointes and postoperative cardiac arrest, adding to the difficulty in overall patient management.PMID:34747759...
Source: Annals of Cardiac Anaesthesia - November 8, 2021 Category: Anesthesiology Authors: Anand Mammen Prabhat Tewari Pallavi Horo Shantanu Pande Source Type: research