Interesting EKG from yesterday

[als_medic_uk]

The morphology of the ECG of Wolff-Parkinson-White [WPW] syndrome may vary from a classic presentation to near normal, one can not be addiment that a specific factor must be presented when viewing a WPW ECG print out. You would normally see a widened QRS interval, but again it can vary substantially, the morphology of the ECG of WPW depends on the level of preexcitation, you can have a normal QRS interval with a shortened PR interval. What helps more is the dysrhythmia, which can be much more indicative especially if CMT. It is the dysrhythmia that can kill, and hence how it is normally discovered, you can have normal ECG [in a sense] with CMT or A-Fib, which in turns calls for further investigative tools. And the dysrhythmia is treated with Adenosine or Procainamide. There are other clinical findings that are usually present with WPW sufferers, which include tachycardia, palpitations, dizziness, hypotension and PVC made be heard when examining the lungs. One can not rely on ECG readings for complete diagnosis, and often many 'off-shot' ECG readings are misinterpreted, one must also view the most important factors; clinical history and presenting symptoms (if symptomatic).

Regards.