WPW / Wolff-Parkinson-White Syndrome: ECG / EKG findings, symptoms, pathology, & treatment
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- เผยแพร่เมื่อ 6 ก.พ. 2018
- Wolff Parkinson White Syndrome (WPW) explained clearly by Dr. Seheult of www.medcram.com/?Y...
Understand WPW ECG findings, pathophysiology, symptoms, treatment options, common pitfalls, and more. WPW syndrome can cause life-threatening arrhythmias via accessory pathways in the heart. Learn the key EKG findings of Wolff Parkinson White pattern as well as treatment options for WPW.
Free quiz (on this video) at the MedCram website: www.medcram.com/courses/ekg-e...
This complete ECG/EKG interpretation course provides:
- The physiology of the heart
- EKG leads and vectors
- Leads and EKG paper
- The ECG tracing
- EKG waves, complexes, and intervals (p waves, QRS complexes, PR interval etc.)
- Axis on EKG and precordial leads
- The autonomic nervous system and the heart
- Heart rate and automaticity on the ECG
- The R to R interval
- Rhythm, arrhythmias, and escape rhythms,
- Premature beats and pauses on EKG
- Bigeminy, trigeminy, and tachyarrhythmias
- V-tach and torsades de points
- Atrial and ventricular flutter
- WPW syndrome (Wolff-Parkinson-White) and WPW pattern.
- Atrial fibrillation and ventricular fibrillation on ECG
- Heart blocks and escape rhythms (1st, 2nd, and 3rd-degree heart block)
- Bundle branch blocks, hemiblocks, and fascicular blocks
- Hypertrophy (LVH) and atrial enlargement
- COPD, PE, Hyperkalemia, Digoxin and the EKG
- How to systematically read an EKG (and what a normal ECG looks like)
- Many practice EKG strips (that Dr. Seheult interprets step by step)
- EKG quizzes follow each video.
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Speaker: Roger Seheult, MD
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I'm pretty sure that's THE best I've ever heard WPW explained in addition to its treatment effects. Thank you!
I’ve had WPW for 45 years and have yet to get catheter ablation. Standing on my head has been my go to in getting out of AF. I has 1 reset in 2007 when all techniques failed and was given Varapamil (I exhibit a very wide QRS). Thank you so much. I now understand
That in the event I can’t produce sufficient vagal response I know what drugs not to take
To avoid another DC cardio aversion.
I’m going through this experience right now.. omg
I was recently diagnosed and I'm waiting for an appointment to decide what's going to be done. This has really helped me better understand what's going on.
I am 34 years old and I was diagnosed during normal checkup. I never had speed heart beat or any visible symptoms. My cardiologist said after echo and egc that it appears to be by birth and no medication is needed until I have any symptoms in future. I have always been into sports and luckily I never had visible symptoms. I wish it doesn't increase much with age
Also, as someone who first encountered this in 2009, as a patient, the astounding amount of consumer friendly info available now is astounding and fantastic!
This video is so helpful! And you hit all the high yield points that are commonly tested on USMLE Step 2! I especially appreciate the explanation of why AV nodal blockers are actually extremely dangerous in patients with WPW with atrial fibrillation - wonderful video!
As someone who has this, and had cardiac ablation surgery twice in two years, the first surgery doesn't always take. I'm doing fine, now, though. Don't let it get you down, and find a surgeon you can trust. ❤
You got this!
Best explanation of WPW I've seen
I had this when i was younger.. and this is the the first time in 18 years that i understand it! 2 thumbs up!
I've had this for 10 years, always knew something was wrong, general doctors kept shoving it off as a regular symptom of exercise, finally get to see a Cardiologist and he diagnosed it in 5 minutes
@@BojackatronHorsemaniac I just got diagnosed with WPW today, did the treatment work?
@@andrebatista3026 Don't know yet, funny timing though, i literally got told i am going to have a coronary Ablation to fix it in the next 8-24 weeks yesterday. He told me they will do it all in one day and i can go home the day they do it too. Just a case of waiting now.
Nagamori I had this done at 12 years old, now 19 and it completely worked. i used to have these episodes and pass out all the time and haven’t had a problem since.
@@andrebatista3026 I had a catheter ablation for WPW about 10 years ago (age early 30's), it's been amazing!
First year resident in cardiology,this video was very helpful.
Thanks Dr
excuse me sir, but your content is outstanding. I have learnt more here than a 1h lecture in med school. you are AMAZING. thank you for posting your videos :)
Join Dr. Seheult for the complete ECG Interpretation Video Series: www.medcram.com/courses/ekg-ecg-interpretation-explained-clearly
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That explanation was very helpful and clear.
Thank you!
Explained clearly indeed! Thank you!
Nice job explaining WPW I have a much better understanding now. I have asymptomatic WPW which happened to be caught on a routing checkup with my primary care doctor. I have been told that I may never show symptoms as you stated, and at least one cardiologist said they would not consider ablation if I didn't have any symptoms. I just hope that one day I don't go from not having any symptoms to some catastrophic signaling event.
I was just diagnosed today! Thanks for this, I have a follow up appointment next week to get tests done.
I have this and was great to know more 👍
Awesome video!!!! I just saw this in person today!!!!
Excellent points conveyed
Thank you sir... u made it quite easy .... 🙏🏻.
Thanks for a great explanation. I had my wpw ablated some years back by a a real professional team at the Sahlgrenska Hospital in Gothenburg, Sweden.
How do you feel after ablation? Is shortness of breath and tiredness gone?
This really helped me thank you
Very helpful sir, thank you
Thanks. Good video!
thanks for sharing, never heard of it before.
Great explanation. I had cardiac ablation because of WPW and your video makes so much sense. it is also a great help in my preparation for CSCT exam.
did it work ?
Thanks so much, I Like the easy way to discuss it
Excellent explanation! I love your video! I am a cardiac monitor tech.
Thanks for the feedback!
Your jeff goldblum impression is very good 🙏
Thanks for explaining
I love you and Thank you! Learning has occurred.
Awesome video!
I'll make a presentation soon, about WPW syndrome here, in my Medical School!
And, for sure, you helped me a lot in reviewing details of it!
Thanks for sharing!
God bless you , great effort am an ed physician and enjoy viewing this video
Now I know what happen to me after surgery. Also had SVT's. Thanks! Good info
me also having same problem
Good explanation ⭐
Thank you 🙌
Had an ablation done on me. WPW was gone but it came back, looks like round number 2 is coming.
This is amazing
yea beautifully explained and easily understandable if you are electric engineer.
Thank you so much
Guess what, you're a genius, doctor!
High yield dr 👌👌👌
Thank you
Just found out I have this. For over70 years it hasnt been a problem at all. Never had anykind of symptoms.
Thanks bro
Awesome!
excellent
Thanks
Please do a video on Lown Ganong Levine syndrome
I discovered 2 months ago that i have wpw i've never have symptoms, until 2 weeks before my final exam i had my first symptoms, it was horrible i thought i was dying, my doctor said i need electrophysological studies and ablation , now i'm taking medicine , i've always been very healthy now that i've discovered that i'm sick , i'm living with the fear that i might die at every moment even though i know is not life threatning as my doctor said .
I have it right now.
I have type A WPW syndrome. Meanwhile I also have mild pectus excavatum. Being a geneticist myself, I am very nervous to think about the possible linkage between these two defects. But I don’t want to perform any research on myself. I am very nervous about passing the genetic mutation to my offspring because it’s showing a dominant inheritance pattern in my family.
Thanks for the video.I already undergone the Procedure in 2010. Thanks God, i never experience anymore palpitation.May I ask if there is possibility that i will experience again this palpitation? By the way I'm 50 yrs old now and I regularly do workouts and play ball games without any problem at all. Thank you.Hoping to hear from you
Great illustration. But i have one query can you tell me why is the qrs complex broad in an all accessory pathway?. Shouldn’t it be narrow as there is no nodal delay or you meant both av node and accessory pathway participate in generating the qrs at two different rates and refractory period so it gives an overall broad complex ?.
Thanksss a lot
I have WPW
MY HEART Beat is 250
From MAURITIUS
i have it now and may be having surgery on Monday to remove the pathway had it since i was born and this would mark my second surgery.
Next monday maybe
@@BigSmelly57 Good luck!
how did it go??
How did it go
Awesome
Thank you!
Sir could you do video on how injury ischemia infraction look plzz sir very confusing
احبك يا اخي
I have short pr interval and sound rhythm. Is it dangerous to me. Should I consult to Dr. Please suggest appropriate advice
Good explanation. The best part of wpw are the shots of Adenosine in the ER oh ya!
Why?
After an hour or two of tachycardia you get lightheaded. The adenosine constricts you heart and then gives you a huge rush. Especially when you get multiple shots the lower doses never seem to work. 12+mg always worked. I got 18mg at Cleveland Clinic once WOW! Eventually had my WPW corrected with open heart after 4 failed ablazons.
@@joshmatthew4125 I find I get short of breath and an impending sense of doom with cold sweats just like a heart attack. And once it was a heart attack but this time no troponin rise.
Had these about 6 times so I guess it not 6 heart attacks but sure feel like one..
I think my previous doctor forgot about this because I just found out I had this even though I've had it since birth.
same situation my doctor said same ... i have an appointment day after i think i am going do this for second time
Would this show up on a regular five-lead heart monitor or do you need a 12 lead EKG to really see it?
I was diagnosed in 2016 and got Ablation in January 2017. Never came back until recently I was joking and feel it twice in a week all while joking. I do workouts an hour or more but don't know if it's a good idea. But i believe exercise help the heart. My doctor told me I can exercise. I don't think this WPW will never get cured its just like a ticking time bomb. I feel like I can die at any time especially while doing workouts
I feel I need to get the ablation as it seems to get worse as I get older. It definitely gets worse with alcohol and sugar. Hopefully yours gets better. Sometimes a second surgery is needed.
Today I learn I have WPW too
I've had SVTs since my 20s, they never found any structural abnormalities and I'll have an episode once a year to year and a half. I've never been diagnosed with WPW but I was told I had a vitamin D deficiency. I'm 38 now. I do regular exercise and never have any issues except when I was really out of shape.
What were your symptoms im currently seeing a cardiologist had an echo done & got diagnosed with mitral valve regurgitation & now i wore a heart monitor & im getting a 2nd opnion for " Svt , because my heart rate went up too 170 & the lpwest was 49 & reg was 88
Jessica Lisa do you have a CHB?
Mine was ablated never had it again. 7th person to have it done at mayos hospital. Never had it again but barely survived it. Early 30 s
What you mean "barely survived it" can you explain some more please ?
Hello , I have WPW I dont have Avrnt attack but I feel like I have a second heart beat from my left side (heart) I need a ablation ?
Amiodarone is no longer considered safe in WPW. It does not consistently prolong the accessory pathway refractory period and, thus cannot be considered protective against sudden death in WPW syndrome.
One of my ECG 6 lead looks like that but worst.. its continuous
I have done an electrophysiological study. The doctors said that they couldnt locate the AP cause it wouldn't work and if so it would show up only for couple of seconds. 1 year later i did an ECG for a checkup and they still see it there. Can anyone explain me the situation here???
I have so many questions since the doctors didnt care to explain much. They just said its too small and it should not cause me any trouble
Dr I read an article where it said that sotalol can be given in patients of wpw with structural heart disease
Sounds like it would depend. From 8:10 on he talks about the case where a beta blocker would be ineffective and where it would be effective
I found out I had this 1 yrs ago after a procedure, steroid shot , my heart started going into strange fits. I found out this month it is my right & left side. My EKGs are always different. Can both sides go at same time? Doctor informed me that if my heart goes over 200 BPM and doesn't decline to go to ER and get adenosine. Been having chest pains and in arm but don't know if this is From WPW. Thanks for the video still have questions as to how my heart should beat.
Its happened because steroid?
İ think we no longer use amiadorone in WPW
I've kind of recently been bumped back and forth between WPW Syndrome and Pattern by doctors, and all of them including cardiologists are throwing every type of beta blocker at me. Your video says beta blockers are actually very bad for wpw. So then are doctors trying to kill me? Should I be asking them for Procainamide instead?
Only wpw with a fib no beta blockers
Does the patient or someone with WPW syndrome will show the same EKG result shown every time she/he get access to EKG or sometimes the EKG result look normal and sometimes don't? Or is it necessary for a person to be having the symptoms all the time to be diagnosed with WPW or if she/he may have it even just occasionally experiences the symptoms?
I suppose that someone with WPW will always show the same EKG result regardless... I doubt if it can be normal as the accessory pathway will always be there, unless ablated by radiofrequency ablation. I also suppose that the person need not have symptoms all the time and may ocassionally experience symptoms
Im 42 and just found out I have this last week.
Swapnil Naik there is a concealed pathway no ekg findings
Hey there I have been diagnosed with WPS- I was given a beta blocker Atenolol 25mg - taken with no effect.
What do you think of this as a treatment
I take 50mg x 2 a day. Helps a little, waiting for ablation.
Hey I am put on metoprolol 25mgX2 day it does not seem to effect in wpw it is not slowing my heart rate much .How did betablocker work with u
I have wpw had two heart surgrey still have it bete blocker don't work start you up
Can I do bodybuilding if I have this syndrome?
There's a procedure you can get that I assume blocks or severs the auxiliary connection (bundle of kent), but not a doctor, just have a fried with WPW and there is a procedure she's getting done to help with it.
I have wpw i have mass beating out of control like a pissed of drummer 😤 smashing his drums 🥁 shortness of breath lightheadedness and it makes me taste blood in my mouth
I just find out yesterday that i have this....😪😔
You'll be alright.
My PR interval is 118ms, is it fine???
I have wpw and it sucks my Dr did a bad job fixing me a one hour procedure took 4 hours stayed over night went home the next morning felt good all day then died later that night after the ambulance got me to the er now the wpw problem went from bad to worse from once every 6 months to a year to every day and now I have a pace maker so life suck for me but I'm ok with it because I know it could be worse
cant tell how serious this is
Zion Za you didn’t die
Anyone else watching this who has WPW? Iam trying to understand my own ilness because paramedics don't know a lot
Keziah Yates get an ablation!
@@milehighhannah4408 I don't need one just need a document that says what it is
Are you geting it fixed? I had an ablation 25 years ago. Minor surgery
@@reidbrian08 did it work? How many ablations?
👍✳️👍✳️👍✳️
Meat Loaf has this
✳️👍✳️👍✳️👍