Saturday, November 9, 2013

Wolff-Parkinson-White Syndrome, WPW syndrome

症狀/併發症(symptom/complication)
@Pale
@palpitations
@dizziness
@shortness of breath
@chest pain
@syncope
病因(etiology)
|have accessory pathway to conduct AP to ventricle
|some ventricular cell have be stimulate too early
資料來源:維基百科
type
|manifest WPW
|concealed WPW

資料來源:medscape
檢查/準則(examination/criteria)
#ECG
##PR interval shorten
##QRS complex have delta wave (preexcitation)--> wide QRS
資料來源:jack119
治療(treatment)
$Valsalva’s maneuver: 閉氣造成胸腔內壓力增加,橫膈膜被向下推,配合胸腹部肌肉的用力,造成腹壓的增加

資料來源:withfriendship
$carotid massage: Check do not have Atherosclerosis first
$intravenous bolus injection adenosine
$radiofrequency catheter ablation, block AV node or accessory pathway
$verapamil: but side effect is hypotension
鑑別診斷(Differential Diagnosis)

流行病學(Epidemiology)


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