WPW Syndrome

Patients suffering from ERW syndrome have tachycardia and arrhythmia due to
The anomalous path of the electric pulse passing between the ventricles and
Atria. Another name for the disease is premature ventricular arousal. WPW syndrome is a rare phenomenon, and most patients do not have any heart disease. The main symptom of the syndrome is arrhythmia. Half of the patients have tachyarrhythmias. The disease is most often hidden, therefore, an electrophysiological study with electrostimulation of the ventricles of the heart is necessary.

WPW syndrome is of two types-A and B. In the first type, the conductive abnormal
The path is located between the left ventricle and the atrium. In type B, an additional pathway is located between the right ventricle and the atrium, which leads to premature ventricular excitation.

WPW syndrome is characterized by arrhythmia attacks that occur with high
Frequency and ending spontaneously. Attacks can be triggered by excessive physical exertion, alcohol intake, stress, smoking, severe hypothermia, and the like. It is necessary to avoid taking medications that inhibit the normal course of impulses in the heart in patients with WPW syndrome. Treatment in most cases is not required.

The big danger is the combination of manifestations of the syndrome with atrial arrhythmias, which requires a surgical operation. In this case, radiofrequency ablation is carried out , that is, the destruction of pathological conducting paths. Radiofrequency ablation, carried out through the insertion of catheter electrodes during intracardiac electrophoresis, has become widespread in recent years. Destruction is an effective and safe method of treating ERW syndrome. Successful results can be achieved in 96 percent of patients.

Indication for the use of radiofrequency ablation of pathological additional pathways is sustained ULT, individual intolerance to antiarrhythmic drugs and the risk of occurrence of atrial fibrillation. In young patients, this method of treatment represents an alternative to lifelong drug treatment.

In the asymptomatic course of a disease such as ERW syndrome, treatment is not prescribed to all patients. It should be noted that the treatment of the syndrome can be more dangerous than the disease itself. Assess the risk to life of arrhythmias allow samples with physical exertion.

WPW syndrome is treated with medications that slow AV carrying out pulses (digoxin, adenosine, verapamil), or carrying out
On an additional path (lidocaine, procainamide). In rare cases
Supraventricular tachycardia can be transformed into atrial fibrillation,
Therefore, the doctor must have a defibrillator to carry out an emergency
Cardioversion if necessary. It is especially important in the case of
Use of funds blocking the holding in the node.

For the therapy of paroxysms with atrial fibrillation, procainamide is introduced, which slows down the impulse along the anomalous pathway. Prevention
Is the use of other drugs class 1c or 1a. Sometimes appointed
Propronolol with all precautions.

In some cases, HTT can be interrupted with the help of a decreasing or accelerating ECS. Drugs of long-term prophylactic action are selected under the control of the EFI. This is especially important in cases where
Previous paroxysms were accompanied by fainting and hemodynamic disorders, as well as with paroxysms of atrial fibrillation with increased heart rate.