M04.04.032 Wolff-Parkinson-White Syndrome

Learning Objective

After completing this section, learners will be able to identify Wolff-Parkinson-White syndrome on ECG, describe its characteristic findings, and understand its mechanism of reentrant tachycardia.


Wolff-Parkinson-White (WPW) Syndrome

Mechanism:

  • Presence of an accessory pathway (Bundle of Kent) between atria and ventricles

ECG Characteristics:

  • Short PR interval
  • Slurred upstroke of the QRS (delta wave)
  • Widened QRS complex
  • Rhythm usually steady; rate usually normal

Clinical Significance:

  • Impulses may travel retrograde over the accessory pathway, creating a reentrant tachycardia

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