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Patient with Wolff-Parkinson-White syndrome with intermittent pre-excitation under subarachnoid block for urological surgery.

Garg R, Sinha R, Nishad P - Indian J Anaesth (2011)

Bottom Line: Wolff-Parkinson-White (WPW) syndrome is one of the pre-excitation syndromes in which activation of an accessory atrioventricular (AV) conduction pathway leads to bypass the AV node and cause earlier ventricular activation than the normal pathway.We report a patient with intermittent WPW syndrome who repeatedly manifested pre-excitation after subarachnoid block.

View Article: PubMed Central - PubMed

Affiliation: Department of Anaesthesiology and Intensive Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.

ABSTRACT
Wolff-Parkinson-White (WPW) syndrome is one of the pre-excitation syndromes in which activation of an accessory atrioventricular (AV) conduction pathway leads to bypass the AV node and cause earlier ventricular activation than the normal pathway. We report a patient with intermittent WPW syndrome who repeatedly manifested pre-excitation after subarachnoid block.

No MeSH data available.


Related in: MedlinePlus

Preoperative ECG suggestive of Wolff-Parkinson-White syndrome
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Figure 0001: Preoperative ECG suggestive of Wolff-Parkinson-White syndrome

Mentions: A 32-year-old male patient was admitted for urethroscopy and laser core through for stricture urethra. He did not give any history of palpitation, dyspnoea on exertion, syncope, dizziness or chest pain. On examination, patient had a pulse rate of 84 beats/min with occasional missed beats (4-5 per minute) and non-invasive blood pressure (NIBP) of 136/88 mmHg. On auscultation, chest was normal. ECG was suggestive of WPW syndrome (delta wave with broad QRS) with 4-5 ventricular ectopics [Figure 1]. Chest X-ray was normal. Echocardiography revealed normal valves, no regional wall motion abnormality with an ejection fraction of 55%. Holter evaluation revealed baseline sinus rhythm, WPW syndrome with right-sided pathway. Maximum heart rate (HR) achieved was 127/min with occasional ventricular premature beats.


Patient with Wolff-Parkinson-White syndrome with intermittent pre-excitation under subarachnoid block for urological surgery.

Garg R, Sinha R, Nishad P - Indian J Anaesth (2011)

Preoperative ECG suggestive of Wolff-Parkinson-White syndrome
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3106391&req=5

Figure 0001: Preoperative ECG suggestive of Wolff-Parkinson-White syndrome
Mentions: A 32-year-old male patient was admitted for urethroscopy and laser core through for stricture urethra. He did not give any history of palpitation, dyspnoea on exertion, syncope, dizziness or chest pain. On examination, patient had a pulse rate of 84 beats/min with occasional missed beats (4-5 per minute) and non-invasive blood pressure (NIBP) of 136/88 mmHg. On auscultation, chest was normal. ECG was suggestive of WPW syndrome (delta wave with broad QRS) with 4-5 ventricular ectopics [Figure 1]. Chest X-ray was normal. Echocardiography revealed normal valves, no regional wall motion abnormality with an ejection fraction of 55%. Holter evaluation revealed baseline sinus rhythm, WPW syndrome with right-sided pathway. Maximum heart rate (HR) achieved was 127/min with occasional ventricular premature beats.

Bottom Line: Wolff-Parkinson-White (WPW) syndrome is one of the pre-excitation syndromes in which activation of an accessory atrioventricular (AV) conduction pathway leads to bypass the AV node and cause earlier ventricular activation than the normal pathway.We report a patient with intermittent WPW syndrome who repeatedly manifested pre-excitation after subarachnoid block.

View Article: PubMed Central - PubMed

Affiliation: Department of Anaesthesiology and Intensive Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.

ABSTRACT
Wolff-Parkinson-White (WPW) syndrome is one of the pre-excitation syndromes in which activation of an accessory atrioventricular (AV) conduction pathway leads to bypass the AV node and cause earlier ventricular activation than the normal pathway. We report a patient with intermittent WPW syndrome who repeatedly manifested pre-excitation after subarachnoid block.

No MeSH data available.


Related in: MedlinePlus