What are the treatment options for Wolff-Parkinson-White (WPW) syndrome associated with arrhythmias?

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

Treatment of WPW associated arrhythmias comprises the following:

  • Radiofrequency ablation of the accessory pathway [3]
  • Antiarrhythmic drugs to slow accessory pathway conduction
  • AV nodal blocking medications in adult patients to slow AV nodal conduction in certain situations (ie, Mahaim or atriofascicular pathway-mediated SVT; typically, AV node-conduction blocking medications are avoided in the acute setting of WPW)
  • For adult WPW patients, address the triggers that perpetuate the dysrhythmia, which include coronary heart disease (CAD), ischemia, cardiomyopathy, pericarditis, electrolyte disturbances, thyroid disease, and anemia

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