You are a lifesaver!! The WPW description in my cardiology book is so messed up, I was so confused until I saw this. Thank you!
@perrykay3532 жыл бұрын
I had an ablation done at ten years old after my heart rate went up to 170 out of nowhere. Now I am 21 learning physiology and this is fascinating!!! I wish I knew more details about my accessory pathway but I do not have access to my records.
@AGENT47ist5 жыл бұрын
I was born with WPW syndrome, but was never diagnosed on any ECG, it had never shown until my 20s which is about 4 years ago when one day I was just taking to the phone and suddenly I felt having a bit of tachycardia, but not very fast, was about 120-130bpm, but I could feel it was arrhythmia. So after the first symptoms occurred, the pathway showed in the ECG for the first time. My doctor saw all the exams, and then I went to the Electrophysiologist to do the examination and possible ablation. The basic rhythm was Sinus but with visible accessory pathway, and during the Electrophysiological study, the doctor induced atrial fibrillation, to see how the heart responded but it stopped on its own. We had to do 2 procedures because the first time the pathway wasn't completely destroyed so a second procedure was required to destroy the tissue. Ever since, I never had any problems just sometimes I have those extra systoles which feel like a "stopping" for a split second with the feeling of slamming a door, but the doctor said that these are common among 80% of humans but they scare me.
@jonocrawfs1381 Жыл бұрын
Ive had two procedures and going in for a 3 procedure at Royal Melbourne later this year… Still getting 204at rest but strangely i am able to control things a little more…If i sleep on side non heart side it takes off to about 186bpm but as soon as i turn over and lay on my heart side it almost immediately reverts back to 90bpm….Are the extra pathway being crushed by body weight on heart side and freely hanging by gravity and exciting atrium when laying on right side..????
@ddshayoda8 жыл бұрын
great work doctr . i am totally speechless can you please add these new videos to the EKG playlist in channel to be more easy to access in future
@Alex-xg9xt3 жыл бұрын
Thank you, this helped me understand what is happening with my body. I was notified a few days ago that I am WPW syndrome and have since been referred to both an electrophysiologist and a general doctor after a panic attack apparently tripped me into palpitations and I felt the need to call 911.
@mrseddiediaz3 жыл бұрын
Does Metoprolol help?
@HansGTR7 ай бұрын
Much more useful than my EKG Books ! Appreciate the the work you've done ! Thx a lot 😎😎😎
@vildesakshaughoseth62644 жыл бұрын
Great video, very informative. The leads V1 and II in the EKG for intermittent preexcitation have been switched.
@sabrinamichael15004 жыл бұрын
Thank you! I have WPW and wanted more info than my cardiologist gave me, which was that I "had an extra wire"! Not that he was wrong, but I just was curious :)
@scadaval2 жыл бұрын
Great video. Very useful. Thanks! Cheers from Brazil.
@petepj79597 жыл бұрын
I had WPW until a week ago, I had it operated and removed with ablation, its GONE ! If your hospital do the ablations, dont wait ! its relatively easy and safe procedure. Palpitations can be life treatining if you will be older and get any other heart problems so dont wait and remove that extra path. Technology is great nowdays.
@StrongMed7 жыл бұрын
Yep. My wife does that procedure and it's quite amazing. There aren't too many chronic diseases in medicine that can be cured in a single day.
@badrsharif44498 жыл бұрын
thankyou so so so much dr.eric ... you are the best
@edreesalqutel80023 жыл бұрын
Nice work....تم التحميل
@adelelgohary25837 жыл бұрын
Great work and excellent doctor
@saurabhgupta58256 ай бұрын
How do you differentiate typeA from typeB wpw,terms that are often used?
@dfballa222 жыл бұрын
Very helpful. Thanks!
@masoodpaki8 жыл бұрын
doc you are awesome ......
@superbesli80168 жыл бұрын
Thank you. What I understand is these are some kind of arrhithmia in which ventricle contracts early, abundance of premature beats and need some kind of intervention
@StrongMed8 жыл бұрын
There's not necessarily an abundance of premature beats in patients with an accessory pathway (i.e. the WPW pattern), they will increase the probability that an arrhythmia is triggered. Intervention is only needed for patients who are experiencing arrhythmias - which is ablation in geographic regions where this is available, and medications where it's not.
@MahmudulHasan-rk6ze5 жыл бұрын
Thanks,exciting eleboration
@sunving4 жыл бұрын
Thank you Dr Strong
@maa95423 жыл бұрын
Dr Strong, thank you so much! this is a very helpful vd but I believe there's lot of imp details regarding the differentiation between AVNRT and AVRT subtypes that are missing. I wish you can do separate vd on this topic
@StrongMed3 жыл бұрын
Yes - this is on the list of topics I still need to cover in this series!
@maa95423 жыл бұрын
@@StrongMed Thank you so much! you have a phenomenal way of explaining concepts.
@munirabdullatif20227 жыл бұрын
Thank you man , nice and comprehensive work
@rajeshkhanna51612 жыл бұрын
Amazing !
@mrseddiediaz3 жыл бұрын
Can you see WPW on a regular 5 lead heart monitor or do you need an EKG with 12 leads to catch it?
@StrongMed3 жыл бұрын
If it was unusually prominent, and the accessory pathway was in a location within the heart where the delta waves were most prominent in the limb leads, I can certainly imagine being able to diagnose this from a conventional 5 lead telemetry system in some patients. However, it will be easier to identify from a 12 lead EKG.
@mrseddiediaz3 жыл бұрын
@@StrongMed None of the leads would be on the limbs in a 5 lead. They'd be on the upper and lower chest and then in the center so I'm assuming you wouldn't be able to see it on the heart monitor. Right?
@ИльяБолутов5 жыл бұрын
can sleep be disturbed due to wpw syndrome?
@6969SadGirl12 күн бұрын
Before I had my heart surgery to remove my WPW (cardiac catheterization & ablation), I was misdiagnosed for years & was told my increased heart rate was due to anxiety until one day when I was 17 I walked into the ER and told the RN I was having a heart attack & she laughed in my face & then checked my pulse & turned white.. my heart rate was in the 200's. 😅😅😅 But my heart would randomly beat super fast to the point of my chest throbbing so yes.. sometimes I would wake in the middle of the night with my heart throbbing.
@kmrmc08msm5 жыл бұрын
How to differentiate pjrt and atrial ectopic tachy
@삶바른5 ай бұрын
1:18 정상적인 전기신호 이동 모습 1:48 정상적인 전기신호 이동 상태에서 점점 WPW 전기신호로 변천되어 가는 모습 2:45 델타 웨이브.
@shif4428 жыл бұрын
Eric, can please clarify the meaning of the RP interval? does it relate to the ventricular depolarization that occurs just before the retrograde wave depolarozes the atria or to the ventricular depolarization that occurs when the retrograde wave reaches the junction where it spread simultaneously to the av node and the atria?
@leehoetoh90025 жыл бұрын
You are top .nice and clear
@fightingalefight4 жыл бұрын
thank you very much
@davebellamy48674 жыл бұрын
Why do they always call it PR interval when it's really the PQ interval?
@StrongMed4 жыл бұрын
¯\_(ツ)_/¯
@luqmanmohamudomar71234 жыл бұрын
Dr. Eric mentioned this same question on his video on waves, segments and interval. FYI in russia, they call PQ interval.
@elaineluther17997 жыл бұрын
Does WPW show in all leads? Or do you look at specific leads to locate it? If so, can you figure out the approximate location of the accessory pathway by what leads it shows in?
@StrongMed7 жыл бұрын
No, WPW does not usually show in all leads, and there are no specific leads to look at more so than the others. The delta waves can show up anywhere, depending upon the location of the pathway. The video gives a couple of examples of how to localized the pathway from about 6:00 to 11:00.
@elaineluther17997 жыл бұрын
It seems like, from the examples I have seen, the delta wave is most often found in aVL and lead II. Is this correct?
@Ameen.n7818 жыл бұрын
You are the best :)
@aliz6252 жыл бұрын
Helpful
@DH-vy8hw2 жыл бұрын
I'm new to EP, how can you have a concealed WPW???? I thought a criteria for WPW was preexcitation with a manifest delta wave??? Am I missing something here???
@StrongMed2 жыл бұрын
"Concealed WPW" refers to the situation in which a patient has an accessory pathway that directly connects the atria and the ventricles, but which is only capable of retrograde conduction under normal circumstances. Therefore, there is no delta wave on resting ECG. In contrast, the "WPW pattern" on ECG requires a delta wave by definition. WPW syndrome = WPW pattern + symptoms related to tachyarrhythmias. While a significant number of asymptomatic patients are incidentally found to have the WPW pattern on ECG, it's not known how many asymptomatic patients have a "concealed" WPW pathway since their ECGs in sinus rhythm look normal, and they would only have the accessory pathway identified during an EP study if they were symptomatic.
@DH-vy8hw2 жыл бұрын
@@StrongMed Thanks for the reply. So when a WPW can only conduct retrogradely, why call it a WPW? I'm just really trying to understand the language and concepts accurately.
@tariqmostafaal-homaidi61206 жыл бұрын
Just thanks a lot ....💙
@arefamini50504 жыл бұрын
Tnx alot🙏🙏
@edreesalqutel80023 жыл бұрын
تم التحميل
@NinjaSheepa8 жыл бұрын
Thanks!
@mattkraft38078 жыл бұрын
Thanks!!!!
@makus1227 жыл бұрын
Hey ! Greetings from Poland . U helps a lot with my studying medicine on last year. Just one question ... If I understood well, in AVRT we WON'T have any sympthoms on EKG like delta wave because impulse goes back up in accessory pathway, while in WPW without arrytmias or others than WPW I will see delta wave because impulse goes down this accessory pathway ?
@makus1226 жыл бұрын
Up
@DrHistoryV8 жыл бұрын
Thank you Dr. Strong, I am a 2nd year medical student going on to 3rd, how prevalent is WPW in practice? Is ablation the only sure way to treat symptomatic WPW? Thank you for the awesome video series, D.O. Class 2019
@StrongMed8 жыл бұрын
The WPW pattern has an estimated prevalence of ~1/500 people, and only a fraction of those with the WPW pattern on EKG actually develop arrhythmias. In my routine practice as a hospitalist (~16 weeks of inpatient wards/year), I encounter an EKG of probable AVRT in my own patients < 1x/year. Though that may be skewed by the fact that my clinical work is at a VA, where the average patient age is above the age when WPW is typically diagnosed. I don't think I mention this in the video, but the prevalence of orthodromic AVRT >> antidromic AVRT. My wife is an electrophysiologist, and when I asked her if she had any good examples of EKGs showing antidromic AVRT that I could incorporate into the video, she didn't. Ablation is by far the best way to treat WPW, and is very effective. Unfortunately, this therapy is not available in many places in the world, where they still rely on medications which prevent arrhythmias by either suppressing the premature beats which trigger AVRT, and/or by altering the electrical properties of the bypass tract. In a couple videos down the line, I'll be doing one on anti-arrhythmics, and will cover pharmacologic therapy for WPW.