Sunday, February 26, 2012

Quiz #5 Answers: WPW syndrome

Click on the image to enlarge.
Questions:
1) What is the diagnosis?
2) Where is the pathway located?




Answers:
1) WPW syndrome (Short PR interval and Delta wave)
2) Right posteroseptal accessory pathway

Thanks to Dr. Numan for advice with interpretation.

There are several algorithms. Two are given below. None of them is perfect. But, they help.
(Click on the image to see a large image)
Bibliography:
Fitzpatrick et al. J Am Coll Cardiol. 1994 Jan;23(1):107-16, (Erratum in
J Am Coll Cardiol 1994 Apr;23(5):1272).
Fitzpatrick J Electrocardiol. 1993;26 Suppl:220-6.
Fitzpatrick PACE 1995.
Arruda et al. J Cardiovasc Electrophysiol 1998;9:2-12.
http://awolecg.blogspot.com/2009/10/wpw-localization-of-accessory-pathway.html
& there are many more!










No comments:

Post a Comment

Comments are moderated.