All About Wolf Parkinson White Syndrome

DEFINITION
Wolf-Parkinson-White syndrome is an abnormal heart rhythm in which the electrical impulses that dikonduksi along the path from the atria to the ventricles causing the incidence of heart the average speed is high. Wolf-Parkinson-White Syndrome is excessive involvement of the extra pathway (accessory). These extra lines present at birth but appear to regulate impulses to the heart only occasionally. This can occur in infants aged one year or no later than 60 years.


SYMPTOMS
Wolf-Parkinson-White syndrome can cause sudden occurrence of a high heart rate with palpitations. In the first year of life, a baby may have heart failure if time extended. They sometimes seem like a difficult breathing or lethargic, stop eating or chest pulse rapid and visible.

The first attack can occur in teens or early twenties. Typical attack begins abruptly often during exercise. It happened just a few seconds or last up to several hours to 12 hours are rare. In patients with a physically fit young or attacks usually cause few symptoms, but the rapid heart rate and suffer uncomfortable and can cause fainting or heart failure.

Fast heart rate sometimes changed to atrial fibrillation. Atrial fibrillation hazard especially around 1 percent of patients with Wolf-Parkinson-White syndrome because an extra pathway can lead to rapid impulses to the ventricles occurs more frequently than normal lines. The result is a very rapid ventricular rate that can be life threatening. Not only is the heart becomes inefficient when the beats so fast, but the extreme speeds may develop ventricular fibrillation can be fatal.


Diagnosis
Diagnosis of Wolf-Parkinson-White Syndrome without or without atrial fibrillation is based on electrocardiogram (ECG).


TREATMENT
Duration of arrhythmia can often be stopped by one of several actions that stimulate the vagus nerve and then slow the heart rate. These actions are usually run by a doctor include addressing tensions if patients have trouble moving the stomach, rubbing the patient's neck below the chin angle (which stimulates the sensitive area in the carotid arteries, called carotid sinus), putting the patient advances to a bowl of ice water.

Actions work best when used immediately after the arrhythmia occurs. If this action does not work, drugs such as verapamil or adenosine is usually given intravenously to stop the arrhythmia. Other arrhythmia drugs were then used for long-term prevention of cardiovascular events is high speed. In infants and children under 10 years, digoxin can be administered to reduce the incidence of heart rate.

Adults should not drink because digoxin may accelerate conduction in the extra lines and increase the risk of developing fatal ventricular fibrillation. For this reason the drug is usually stopped before the patient reaches puberty. Destruction of extra conduction pathway with abalasi catheter (inclusion of radiofrequency energy through a catheter into the heart) success is more than 95 percent. The risk of death during the procedure is less than 1 in 1,000. Abalasi catheter is particularly useful for young people who would otherwise have to undergo antiarrhythmic medication for life.

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