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Showing posts from April, 2012

Wolff-Parkinson-White (WPW) syndrome with PSVT.

Wolff-Parkinson-White (WPW) syndrome with PSVT. Female 47 years old, with a shake of the EKG to see. After the second treatment is the idea that the reason for the shake of the EKG is the first of what And the treatment here? Ecg 1 Ecg 2 The EKG is the first one with paroxysmal supraventricular tachycardia (PSVT). After the treatment a second time for delivery. Wolff-Parkinson-White (WPW) syndrome. Wolff-Parkinson-White (WPW) syndrome is a congenital anomaly. This occurs because the electrical signal from atrium is transmitted to the ventricle through the accessory pathway (which is the accessory pathway is the Bundle of Kent or the Kent Bundle in WPW syndrome) and the AV node, but the signal will not be delayed in the accessory pathway that. electrical signal through the accessory pathway to the ventricle and stimulating. depolarization of the ventricle slowly (ventricular preexcitation) before the signal from the AV node to reach on the ECG is an important characteristic of the QRS c

What is the Wolff Parkinson White Syndrome.

What is the Wolff Parkinson White Syndrome. If the electrical signals to the ventricles too soon, it is called Wolff Parkinson White Syndrome is a disorder of the heart's electrical signals. It can be diagnosed from the ECG. It is found that the conductivity of the cutoff between the atria to the ventricles and then to add another channel. This is the normal conductivity. SA, which started from the top left of the picture. (Located in the right auricle it), then the signal will be sent to the left atria and the AV before it is sent to the two ventricles. But in the Wolff Parkinson White Syndrome, which is a short lane to another lane. Then squeeze the heart's rhythm. Patients found to have a heart squeezing it. Drowsiness or dizziness may shake the air. Sometimes it carries blood to the heart, squeezing the organs is not enough. Treatment Most have no symptoms. May not need treatment. But if I squeeze it. I may need therapy. However, sometimes the drug may not work here. And ma

WPW syndrome

WPW syndrome is Pulsation of the heart, the electrical signals emitted from the sinus node, but are transmitted to the ventricle and atrium fart, is a case that can bypass the root of thecongenitally. WPW syndrome is called Wolff-Parkinson-White syndrome, tachycardia is a disease to occur going on (idling) turning of electricity because of the extra conduction pathwaybetween the atria and ventricles by nature. Atrial fibrillation or paroxysmal supraventricular tachycardia can occur in more than half ofpatients. Because electricity is conveyed through the bypass route to the ventricles faster than the original, disturbing the rhythm of the beat, causing the atrial fibrillation and paroxysmal supraventricular tachycardia. Heart rate much faster and atrial fibrillation occurs, it is no longer enough to send out theblood, lost consciousness and fell, sometimes sudden death. However, the people start having symptoms even if bypass is a part, until they are found in many health diagnosis, su

WPW

. WPW isItself there is no abnormality of any human heart, but shows the specific ECG findings, that there is an interesting example of these ECG abnormalities are known to normalize from circa 1915 also suddenly, causing heart disease paroxysmal tachycardia often was ( Wilson ). Heart disease researcher in 1930, three named. White Wolff, Parkinson has collected 12 cases like this case, since the clinical findings reported in detail that, for example, electrocardiogram, the disease is an acronym for these three now referred to as taking the WPW syndrome. The photo below is a snapshot of 1955 is when Dr.White, visited the School of Medicine, Kyushu University for joint research international epidemiology of ischemic heart disease. Features of the clinical picture of WPW syndrome are summarized in the following three points. Indicate a specific type ECG WPW). 2) this WPW type ECG, suddenly to normal operation, or any kind of naturally. Paroxysmal tachycardia heart 3), to merge a high rat

WPW Syndrome Types

WPW syndrome In the disease pathway called WPW syndrome with (Wolf-Parkinson-White syndrome) , and a bunch Kent is present, the bundle Kent , the right atrium - the left atrium or right ventricle - There are those present in the left ventricle , i n rare cases in some casestoward the interventr icular septum . In the case of the right ventricle , to the right ventricle is excited at the early stage , the conduction of excitement , the right ventricle left ventricle becomes later in the destination , the ECG waveform is the type left bundle branch block - right atrium site is the presence of the bundle Kent indicate . On the other hand, the left atrium - If you want to exist between the left ventricle , left ventricle are excited for the early , the conduction ofexcitement , the left ventricle and right ventricle becomes late r in the destination , right bundle branch block type ECG waveform for that indicate . In addit

new case of wpw syndrome

A now 44-year-old man complained for about 20 years, independent of the load occurring tachycardia, the pulse rate varied between 140 and 190/Min. In the last four weeks had significantly increased the attacks - they are much longer, sometimes up to 30 minutes duration, and are terminable only with certain maneuvers. The Valsalva maneuver to try and press the gag reflex is described. The clinical examination showed no abnormality. Resting ECG, echocardiogram and chest radiograph are normal. The laboratory results also show no abnormalities, the TSH is within normal limits. Resting ECG. Regular sinus rhythm, frequency 66/Min, drop type, no excitation propagation or repolarization disorders (PQ 0.16, QRS 0.06, QT 0.36) in frequency 66/Min. no prolonged QT interval. Resting ECG: sinus rhythm, drop type, no excitation propagation and repolarization disorders Exercise ECG: bicycle ergometric stress: beginning at 50 watts, according to one watt Min./50 occurrence of tachycardia with narrow Q

Paroxysmal supraventricular tachycardia

Paroxysmal supraventricular tachycardia Definition The term designates a group of various cardiac arrhythmias. They all share an unreasonably rapid pulse of more than 100 beats per minute and an origin of the arrhythmia above the ventricles. It mostly affects younger patients, women more often than men. AV nodal reentrant tachycardia Definition Awesome attack occurring supraventricular tachycardia (ie, from atrial outgoing accelerated heart rates), the origin of the AV node. Additional trigger from the atrium to the chamber reaching (atrioventricular) conduction pathways be (also called Kent bundles). In addition to several rare forms is the most common representative of the AV nodal reentrant tachycardia, the Wolff-Parkinson-White (WPW) syndrome. However, there are just as forms in which no additional conduction paths are found, but generally, the AV node itself is equipped with abnormal conduction properties. The majority of patients are healthy and have no underlying heart disease.

Synopsis - heart rhythm disturbances

Reentry mechanism in the WPW syndrome. • extrasystoles - supraventricular - ventricular • supraventricular tachycardia - With a narrow QRS complex (reentrant tachycardia) - with a wide QRS complex • Atrial flutter • Atrial Fibrillation - With tachyarrhythmia - With slow ventricular activity • Ventricular tachycardia • Ventricular fibrillation Synopsis - heart rhythm disturbances Heart rhythm disturbances, such as premature beats can occur in healthy and have no pathological significance. More often they are symptom or complication of heart disease with clinical significance and may be cause for a lethal disease (sudden death). With the exception of emergencies is the treatment of cardiac arrhythmias an electrocardiographic documentation and the clarification of a possible underlying disease. The electrocardiographic documentation of arrhythmias can occasionally occur even in the short-term ECG and succeed with immediate registration in the attack. The arrhythmia occurs only during exer

AV reentrant tachycardia and WPW syndrome

AV reentrant tachycardia and WPW syndrome Condition for the existence of an AV reentrant tachycardia or a so-called WPW syndrome is a (rarely more) redundant or surplus line tracks between prechamber and main chamber containing the excitation from the atrium into the chambers and / or conduct reverse the shunt. Under certain conditions it may occur due to a constellation of circles of excitation between the normal conduction and the additional track. The heartbeat begins unexpectedly and ends again just as suddenly. It often leads to severe symptoms such as e.g. Shortness of breath, severe anxiety, rarely, in Unconsciousness. A combination of WPW syndrome and atrial fibrillation in very rare cases can even be life threatening. For this reason, a permanent elimination of the additional pathway is often advisable in all cases. The aim of catheter ablation is to desolate the additional, unnecessary pathway and thus treat the tachycardia final. This

WPW (Wolff-Parkinson-White syndrome)

WPW (Wolff-Parkinson-White syndrome) The Wolff-Parkinson-White syndrome, WPW syndrome short, it comes to heart rhythm disturbances. In those affected extends an additional bundle of lines between atrium and ventricle, the so-called Kent bundles. It is present in addition to the normal clock generators of the heart. With this short-circuit the electrical excitation in the ventricle gets faster as it is switched on instead of the normal atrial-ventricular node (AV node). The WPW syndrome this premature excitement of the ventricle leads to a disturbed heart rhythm. The WPW syndrome is manifested most commonly by sudden bouts of rapid heartbeat (tachycardia). Sometimes caused the WPW syndrome and no symptoms, a doctor discovered it by chance in an ECG (electrocardiogram) test. The short-circuit in the conduction can also be potentially life-threatening cardiac arrhythmias (tachyarrhythmias) have resulted. The WPW syndrome may cause symptoms at any age - in the newborn as well as for the el

Wolf-Parkinson-White syndrome

Wolf-Parkinson-White syndrome-----------Definition Commonly known under this term bouts of paroxysmal junctional tachycardia occurring outside the Wolf-Parkinson-White syndrome, and related to the existence of intranodal reentry circuit. Etiology In the vast majority of cases the disease is isolated Bouveret. It appears most often in patients youth with a healthy heart. Clinical translation It is manifested by attacks of paroxysmal tachycardia - Sudden onset (click print) - Felt so unpleasant palpitations, anxiety, fatigue, chest pain - Of varying duration: a few minutes to several hours. The end is abrupt, usually followed a polyuric crisis. The frequency of attacks varies greatly from one subject to another. All intermediate between a crisis occurring every year or less and the occurrence of crises with multi-day impact mental major. Generally seizure frequency increases with age. Emotional factors have a large influence. Electrocardiographic appearance a) Outside of paroxysmal tachy

Bundle of kent

Wolff-Parkinson-White (WPW) syndrome Wolff-Parkinson-White (WPW) syndrome is a condition where the heart ventricles become pre-excited. In the normal heart beat, first the sinoatrial (SA) node signals the atria of the the heart to contract, This is then followed by the atrioventricular (AV) node signalling the heart ventricles to contract. The electrical signal for this contraction travels from the SA node to the AV node via the electrical pathway of the bundle of his. In Wolff-Parkinson-White (WPW) syndrome another additional electrical pathway called the bundle of Kent allows for electrical signals to travel from the SA to the AV node. This will result in ventricular pre-excitation (the ventricles may become over stimulated) and paroxyomal reentrant tachycardia (raised heart rate). The above white arrows shows the abnormal, additional electrical activity pathway to the ventricles through the bundle of kent. In Wolff-Parkinson-White syndrome the normal pathway of electrical activit

Wolff-Parkinson-White Syndrome and the Risk of Sudden Cardiac Death

Wolff-Parkinson-White Syndrome and the Risk of Sudden Cardiac Death for quarries for wpw contact facebook: atulwpw@yahoo.com WHAT IS IT? WPW is a specific derangement of nerve conduction tissue in the heart. First and always there is an accessory bypass tract, a redundant pathway named, when present, the bundle of Kent , that runs from the atria to the ventricles, bypassing the atrioventricular (AV) node (the normal pathway for conduction of sinus rhythm). This, in and of itself, would probably cause few or no significant problems, but it is very often accompanied by a “looped” additional reentrant pathway nervous tissue which can – and usually will – cause intermittent reentrant tachycardia (supraventricular tachycardia) and less frequently, atrial fibrillation (AF). It is these arrhythmias, and especially the latter, which are the major concern. HOW IS IT RECOGNIZED? WPW is a “cooperative” disorder, since it usually produces some degree of delta wave caused by a shortened P-R int

Genetic basis for WPW syndrome

Not all cases of WPW syndrome may have a genetic basis. Till recently, only one gene has been implicated in WPW syndrome. PRKAG2 gene which encodes for the gamma-2 regulatory subunit of AMP-activated protein kinase. The enzyme functions by inactivating key enzymes involved in regulating de novo biosynthesis of fatty acid and cholesterol. Mutations in the gene causes distortion of the atrioventricular annulus by glycogen-filled myocytes and causes ventricular pre-excitation. BMP2 is another gene which has been linked with WPW syndrome recently [Lalani SR, Thakuria JV, Cox GF, et al. 20p12.3 microdeletion predisposes to Wolff-Parkinson-White syndrome with variable neurocognitive deficits. J Med Genet 2009;46:168 –75]. Bone morphogenetic protein is involved in the development of the atrioventricular canal. Microdeletion of 20p12.3 produces pre-excitation (Wolff-Parkinson-White syndrome) along with variable neurocognitive deficits.

Is wolff parkinson white syndrome genetic?

Is wolff parkinson white syndrome genetic? Is wolff parkinson white syndrome genetic? My mum has wolff parkinson white syndrome and I wanna know if it can run in the family. ANSWER Family studies, and more recent molecular genetic investigations, indicate that the Wolff-Parkinson-White (WPW) syndrome and associated preexcitation disorders can have a substantial genetic component. Because preexcitation disorders are sometimes inherited as single gene disorders, key mechanistic insights can be gained that are expected to be relevant also to the more common multifactorial forms of these traits. Potentially, such insights will inform the future management of these conditions. Where WPW is inherited as a familial trait, with or without associated cardiac defects or a systemic syndrome, there are clinical genetic ramifications that are already of practical importance. Mutations in the PRKAG2 gene cause Wolff-Parkinson-White syndrome. Most cases of Wolff-Parkinson-White syndrome occur in peop
What is Wolff-Parkinson-White syndrome? Wolff-Parkinson-White syndrome is a condition characterized by abnormal electrical pathways in the heart that cause a disruption of the heart's normal rhythm (arrhythmia). The heartbeat is controlled by electrical signals that move through the heart in a highly coordinated way. A specialized cluster of cells called the atrioventricular node conducts electrical impulses from the heart's upper chambers (the atria) to the lower chambers (the ventricles). Impulses move through the atrioventricular node during each heartbeat, stimulating the ventricles to contract slightly later than the atria. People with Wolff-Parkinson-White syndrome are born with an extra connection in the heart, called an accessory pathway, that allows electrical signals to bypass the atrioventricular node and move from the atria to the ventricles faster than usual. The accessory pathway may also transmit electrical impulses abnormally from the ventricles back to the atri