Should we use Adenosine in WPW with AFib? | Critical ECGs | Good Reads - 4-2024

Why should adenosine be avoided in patients with Wolff-Parkinson-White (WPW) syndrome and atrial fibrillation?
Understand the physiology behind WPW with AFib, and learn why adenosine can dangerously exacerbate the condition. We'll discuss the role of the AV node, the bundle of Kent, and the importance of recognizing WPW with AFib on an ECG.

[@eovc61]

Excellent!

[@ManjitKaur-gr6jj]

Great info🙏

[@oxfd611]

Jack, I am totally baffled by this one. How in gods name do you tell that is a WPW let alone a-fib when the rate is so damn fast that the QRS are gonna be so close to each other that you’re not gonna be able to tell if they’re regular or not, even if you marched them out, they’re so darn close at that rate I don’t see how you can do it let alone recognize it. All I see is a wide rapid ventricular rhythm. Now granted the only thing you can do with that is synchronized cardiovert. But just coming to the conclusion of WPW with a fib just totally eludes me again at that rate I don’t see the irregular irregular you’re talking about. Totally Confusing 🫤