Wolff Parkinson White Syndrome on ECG - WPW Pathophysiology

Understand WPW ECG findings, pathophysiology, symptoms, treatment options, common pitfalls, and more. WPW syndrome can cause life-threatening arrhythmias via accessory pathways in the heart. Learn the key EKG findings of Wolff Parkinson White pattern as well as treatment options for WPW.

This complete ECG/EKG interpretation course is highly rated by thousands of clinicians and includes:

- The physiology of the heart
- EKG leads and vectors
- Leads and EKG paper
- The ECG tracing
- EKG waves, complexes, and intervals (p waves, QRS complexes, PR interval etc.)
- Axis on EKG and precordial leads
- The autonomic nervous system and the heart
- Heart rate and automaticity on the ECG
- The R to R interval
- Rhythm, arrhythmias, and escape rhythms,
- Premature beats and pauses on EKG
- Bigeminy, trigeminy, and tachyarrhythmias
- V-tach and torsades de points
- Atrial and ventricular flutter
- WPW syndrome (Wolff-Parkinson-White) and WPW pattern.
- Atrial fibrillation and ventricular fibrillation on ECG
- Heart blocks and escape rhythms (1st, 2nd, and 3rd-degree heart block)
- Bundle branch blocks, hemiblocks, and fascicular blocks
- Hypertrophy (LVH) and atrial enlargement
- COPD, PE, Hyperkalemia, Digoxin and the EKG
- How to systematically read an EKG (and what a normal ECG looks like)
- Many practice EKG strips (that Dr. Seheult interprets step by step)
- EKG quizzes follow each video.

This video is part of the "MedCram Remastered" series: A video we've re-edited & sped up to make learning even more efficient.

Most of our medical lectures and quizzes are not on YouTube.

Speaker: Roger Seheult, MD
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.

MedCram = More understanding in less time

Recommended Audience - Medical professionals and medical students including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review and test prep for USMLE Step 1, MCAT, PANCE, NCLEX, NAPLEX, USMLE Step 2, NBDE, RN, RT, MD, DO, PA, NP school and board examinations.

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Produced by Kyle Allred PA-C

#MedCram #ECG #WPW

Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider.

[joeber]

Great explanation of WPW.
I was diagnosed with WPW as an infant in the early 80s and very little was known about it back then or at least the information was never relayed to my parents.
I still get several episodes of tachycardia per year and I've developed my own breathing exercises over the years to stop the tachycardia and 9 times out of 10 I'm successful at stopping them. The other times I end up in hospital and end up getting examined by loads of student doctors who insist massaging the arteries in my throat (which never does anything except tear the skin on my neck). I end up getting injections of adenosine which feels so weird when it's pumped in fast but the relief is amazing.
I have had 3 failed ablation procedures over the years with the last being about 15 years ago. I was told that there was no point trying again as the extra pathway was too close to the AV node and another ablation just increased the likelihood of ending up with a pacemaker so I just continued with the medication since then.
I have only ever met one other person who had WPW and he was a total nervous wreak about it. He was in his early 30s and suddenly started having episodes of tachycardia whenever he got stressed or excited. He was going in for an ablation and said he thought he was going to die each time he had an episode.
As I have grown up with having episodes of tachycardia very regularly as a child they were just an annoyance to me but I never thought of the effect these episodes would have on an adult with no prior experience.

[MrStubby]

I’ve been looking for a good WPW lecture for a long time! Got another one to add to the list of medicine videos.

[adelal-yaffei]

Thank you so much for the very simple explanation, almost always when I saw the WPW I was afraid from this synonym, but now at least I have few points about..🌷

[ALWMILBWOAS]

I've had WPW SYNDROME for as long as I can remember. As far as I'm concerned, I was born with it. I can remember as a small child in kindergarten going to school wearing a potable heart monitor around my shoulder. It constantly read my heartbeats. If I was at school and it was time to go to recess, before I could run around with the other kids, I had to write on my ticker tape what activity I was doing. If I was going to run or wanted to run, I had to stop, get out my pen, and write on the white and red lined graph paper where my heart beat was being recorded, I'd write 'running, " then I'd stop, again and I'd have to write stopping, or climbing slide, or crossing monkey bars. No matter what I was doing, I had to log it. I hated it! For years I lived in hospitals. My wpw was very hindering. When I was in 6th grade we went on a field trip at the end of the year to celebrate all our hard work and graduating from elementary school and moving on to Jr. High. Our class to a trip to the amusement park, it was so exciting. Well we all wanted to get on the roller coaster. So we all piled into the this roller coaster, and the first hill we climbed, I could feel the excitement in my heart, but it wasn't till we started to go down the other side, when suddenly I knew I was in trouble. My heart went off! I felt horrible! I was getting very weak, my chest was hurting more and more. And the ride finally came to an end. All the kids piled off the roller coaster. I slowly eased out and went to sit on a bench just outside the ride. I could see my heart literally beating out of my chest wall. Oh it hurt so bad. But I was so scared I was going to be in trouble, I didn't say a word to my teachers. I was so weak and I'm so much pain. But I was at a new school and I didn't want anyone knowing I had problems. I had been teased relentlessly as a kid at my other schools. I was carrying around that big ugly plastic box like a purse. Plus I at one point was also carrying around an oxygen concentrator for my severe asthma, which I was also born with. I tried to hide my medical conditions from the kids at school. I didn't want to get teased or worse yelled at. So I sat on that bench the whole day. I told noone. When we finally got back to school, i was so sick, but i had to still walk home. The moment I walked in the door from the school. The moment I walked in the door, my mother noticed almost immediately. Then the yelling commenced. And a long hospital stay followed. They told me that they could not believe I was still alive. I recently, age 52, had a heart ablation, and I pray my heart is finally fixed! And I never have my heart go off again.

[Dr.SHERIFF]

please make a video abot Long QT-Syndrom

[naomirivera]

I’ve had 3 heart ablations for wpw. I’m very worried about this virus as it’s known to attack heart patients very bad. I’ve also had svt. I get tachycardia here and there. Do you think I would be okay if god forbid I catch the virus?

[ИльяБолутов]

can sleep be disturbed due to wpw syndrome?

[ShawnGillette]

As someone with this condition, it is, first, difficult to get medical staff to believe you, second, difficult to explain to them that *you absolutely will not give me beta/blockers of any kind* and, third, that once cardioversion has been done, rhythm and rate will look totally normal and like nothing happened.

For context, I was diagnosed with a hole in my heart at birth.