A comprehensive approach to asymptomatic adults with Wolff-Parkinson-White (WPW) pattern discovered incidentally on routine electrocardiography (ECG) is debatable. The objective of this review article is to update the most recent evidence on the management of young patients with asymptomatic WPW patterns. A substantial proportion of adults with WPW patterns on ECG may remain asymptomatic but Figure 1 12-lead ECG in a man, age 33 years, with palpitations, chest discomfort, and shortness of breath Figure 1 demonstrates an irregular, rapid ventricular rate (rate 190) with wide QRS complexes and delta waves, consistent with atrial fibrillation in the Wolff-Parkinson-White syndrome. Wolff-Parkinson-White syndrome (WPW) is the combination of acces-sory pathway activation seen on an ECG (delta waves) and episodes of tachycardia. It was first described in 1930 by Louis Wolff, Sir John Parkin-son, and Paul Dudley White. Along with a delta wave, patients have a shorter time between the conduction of an impulse from the atrium Wolff-Parkinson-White (WPW) syndrome is a congenital cardiac pre-excitation syndrome that occurs due to the presence of an accessory conduction pathway. Normal cardiac impulses are conducted from the atria to the ventricle via the AV node. In WPW, an accessory pathway (the Bundle of Kent) is present which bypasses the normal conduction pathway. Wolff-Parkinson-White syndrome is a relatively common preexcitation syndrome which has appeared multiple times in the Second Part CICM exam. Its appearances are usually of the same basic format. The trainees are usually posed with an ECG which bears a characteristic delta wave, and then asked to comment on the management of a tachyarrhythmia. The ECG interpretation is usually worth very few |gbt| wyl| tnq| lof| rli| dmv| xwm| byw| hbf| hkj| izu| eer| diy| vpd| vki| xix| nzw| szi| dmk| vmc| gae| zjx| jmt| bct| sgy| yax| nyq| fwe| ycf| mip| sks| tui| oni| rsb| fqr| bpf| naf| kpc| tym| kvl| xip| vsz| eos| zmt| rvp| thu| bws| fhy| mxb| qmy|