How do you treat AFIB with WPW?

How do you treat AFIB with WPW?

Intravenous procainamide is the treatment of choice for patients with Wolff-Parkinson-White syndrome who have a preexcited ventricular response during AF, provided they are hemodynamically stable. Patients who are unstable (eg, those with hypotension or significant heart failure) may require immediate cardioversion.

What medication is contraindicated in WPW?

The heart drug, digoxin, is contraindicated in adults with WPW syndrome.

How is WPW SVT treated?

Treatment options include:

  1. Vagal maneuvers. These simple physical movements — which include coughing, bearing down as if you are having a bowel movement and putting an ice pack on your face — affect a nerve that helps regulate your heartbeat (vagus nerve).
  2. Medications.
  3. Cardioversion.
  4. Radiofrequency catheter ablation.

Can beta blockers be used in WPW?

Beta blocker is also considered in pa- tients with arrhythmia related to an accessory pathway with a short refractory period. So, concomitant admin- istration of beta blocker and flecainide results in great- er long-term efficacy and can be one of options for the treatment of a patients with AF in WPW syndrome [9].

Can beta blockers be given in WPW?

Do beta blockers help WPW?

Is metoprolol good for WPW?

Verapamil and metoprolol do not affect conduction in the AV bypass tract (may slow Mahaim fibers or atriofascicular pathway conduction). IV verapamil can speed up the ventricular response in patients with WPW syndrome who have AF. Verapamil is not recommended as a sole agent in patients with WPW syndrome.

Can I take propranolol with WPW?

Oral propranolol may be useful and can be used safely in patients with the Wolff-Parkinson-White syndrome.

Can a person with WPW syndrome have atrial fibrillation?

Although patients with WPW syndrome can have any type of arrhythmia as others (eg, sinus tachycardia, atrial tachycardia, atrial flutter, atrial fibrillation, or ventricular tachycardia), there are two specific tachycardias that are associated with APs and these can be divided in reentrant and non-reentrant:

How is Wolff-Parkinson-White syndrome related to atrial fibrillation?

Atrial Fibrillation and Wolff-Parkinson-White Syndrome (WPW) In manifest Wolff-Parkinson-White (WPW) syndrome, antegrade conduction occurs over the accessory pathway. If atrial fibrillation (AF) develops, the normal rate-limiting effects of the atrioventricular (AV) node are bypassed, and the resultant excessive ventricular rates…

How does short term infusion affect WPW syndrome?

Short term infusion has conduction-slowing effect on sinus and AV node properties with little effect on the accessory pathway. (1) While it has traditionally been used in AF in WPW, it has a risk of causing acceleration of the ventricular rate and degeneration to ventricular fibrillation.

What is the treatment for Wolff-Parkinson-White syndrome?

Treatment. The treatment of choice for Wolff-Parkinson-White syndrome is direct-current cardioversion. The usual rate-slowing drugs used in atrial fibrillation are not effective, and digoxin and the nondihydropyridine calcium channel blockers (eg, verapamil, diltiazem) are contraindicated because they may increase the ventricular rate…