00:01
I want you to be very aware of what
the possible complications are with WPW
because they can range from syncope
or dizziness and passing out
to increased sudden
cardiac death.
00:14
Because Wolff-Parkinson-White can
lead to ventricular fibrillation.
00:19
So, what do you want
to look out for?
When you recognize WPW,
you want to be extremely careful
with the type of medications
that you give to this patient
because this throw them
into ventricular
dysrhythmias and death.
00:36
So, that was a great
lead into medication.
00:39
So nodal blockers like calcium channel
blockers, adenosine or beta-blockers
should never be given to somebody
with Wolff-Parkinson-White.
00:48
The reason they're contraindicated
or should never be given to them
is because it puts them in
increased risk of a really,
really bad outcome like death.
00:58
So we don't want to give patients
with pre-excitation syndrome
like Wolff-Parkinson-White,
calcium channel blockers,
adenosine or beta-blockers.
01:11
Now there's three options that would
be considered for treating WPW.
01:15
We can do vagal maneuvers
or Valsalva maneuvers.
01:19
We can use medications,
but which group should
we absolutely not use?
Correct.
01:25
No nodal blocker.
01:26
So we could use something
like procainamide.
01:29
The third option
is cardioversion.
01:32
Not a common treatment,
but we put it in there just in
case it needs to be considered.
01:38
So let's review why this
is Wolff-Parkinson-White.
01:41
We know the heart rate is
going to be greater than 100.
01:44
The rhythm is regular.
01:46
We do have a P wave
before each QRS.
01:48
But remember that PR interval is
going to be shorter than normal,
and the QRS is going to be wider
than normal with a delta wave.
01:59
Thank you for watching this
part of our video series.