Is electrocardiography sufficient for supraventricular tachycardia treatment? A case report

Abstract

In Wolff-Parkinson-White Syndrome (WPW), presence of accessory conduits causes various signs and clinical conditions in patients. WPW syndrome is presently defined as a congenital defect involving the occurrence of abnormal conductive tissue between the atria and the ventricles in relation to supraventricular tachycardia (SVT). SVT is observed in this group of patients. WPW syndrome at high rates can be mixed with SVT. Calcium channel blockers (diltiazem, verapamil) that are one of the most preferred medicines for rate control in patients with SVT may lead to fatal risks in individuals with WPW syndrome. In our presentation, we studied, in parallel to the literature, the case of a patient who presents the WPW syndrome but who is followed as a SVT without performing the electrophysiological tests in parallel to the literature. J. Exp. Clin. Med., 2013; 30:357-359

Keywords

• Emergency medicine; diltiazem; supra ventricular tachycardia; wolf parkinson white syndrome

References

1. Bennett, D.H., 2012. Wolff-Parkinson-White Syndrome, in Bennett’s Cardiac Arrhythmias: Practical notes on interpretation and treatment, eighth edition, John Wiley & Sons, Ltd, Oxford. doi: 10.1002/9781118432389.ch10.
2. Bieganowska, K,, Rekawek, J,, Szumowski, L., Szymaniak, E., Brzezińska-Paszke, M., Miszczak-Knecht M., Glinka-Kazimierska, E., Kawalec, W., Nowak I., Walczak, F., 2006. Morgagni-Adams-Stokes after adenosine injection in a patient with WPW syndrome-a case report. Kardiol. Pol. 64, 1453-1457.
3. Erdem, A., Madak, N., Yilmaz, A., Yontar, O.C., Yucel, H., Gul, I., Tandogan, I., 2010. Development of malignant ventricular arrhythmias in a young male with WPW Pattern. Indian Pacing and Electrophysiology J. 10, 195-200.
4. Ho, H.H., Yeh. S.J., Tsai, W.P., Wang. C.M., Chen. J.Y., 2012. Paroxysmal supraventricular tachycardia and Wolff-Parkinson-White syndrome in ankylosing spondylitis: A large cohort observation study and literature review. Semin Arthritis Rheum. 42, 246-253.
5. Mark, D.G., Brady, W.J., Pines J.M., 2009. Preexcitation syndromes: diagnostic consideration in the ED. Am. J. Emerg. Med. 27, 878-888.
6. Rosner, M.H., Brady, W.J.Jr., Kefer, M.P., Brady, W.J., Martin, M.L., 1999. Electrocardiography in the patient with the Wolff-Parkinson-White syndrome: diagnostic and initial therapeutic issues. Am. J. Emerg. Med. 17, 705-714.
7. Rozanski, J.J., Zaman, L., Castellanos, A., 1982. Electrophysiologic effects of diltiazem hydrochloride on supraventricular tachycardia. Am. J. Cardiol. 49, 621-628.
8. Sung, R.J., Castellanos, D., Mallon, S.M., Bloom, M.G., Gelband, H., Myerburg, R.J., 1977. Mechanisms of spontaneous alteration between reciprocating tachycardia and atrial flutter fibrilation in the Wolff- parkinson-White syndrome. Circulation. 56, 409.

9. Valderrama, A.L., 2004 Wolff-Parkinson-White syndrome: essentials for the primary care nurse practitioner. J. Am. Acad. Nurse. Pract. 16, 378-383.