Which physical findings are characteristic of Wolff-Parkinson-White (WPW) syndrome?

Updated: Jan 08, 2017
  • Author: Christopher R Ellis, MD, FACC, FHRS; Chief Editor: Mikhael F El-Chami, MD  more...
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Answer

Physical findings include the following:

  • Normal cardiac examination findings in the vast majority of cases
  • During tachycardic episodes, the patient may be cool, diaphoretic, and hypotensive
  • Crackles in the lungs from pulmonary vascular congestion (during or following an SVT episode)
  • Many young patients may present with resting tachycardia on examination, with only minimal symptoms (eg, palpitations, weakness, mild dizziness) despite exceedingly fast heart rates

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