What are the goals of emergency treatment of hemodynamic instability in 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

Emergency treatment in Wolff-Parkinson-White (WPW) patients with hemodynamic instability is directed toward converting the rhythm to sinus through a brief episode of atrioventricular (AV) block. Adenosine is the drug of choice for immediate conversion of narrow-complex supraventricular tachycardia (SVT) but should not be used for preexcited atrial fibrillation (AF). Esmolol has also been used with some success.


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