Wolff-Parkinson-White Syndrome

Wolff-Parkinson-White (WPW) syndrome is a congenital heart condition in which an extra electrical pathway between atria and ventricles can cause fast heartbeats and, rarely, sudden cardiac death. Catheter ablation can be curative.

Table of Contents

Quick Facts

  • ICD-10: I45.6
  • Curable: Yes, with ablation

Symptoms

  • Palpitations (often very fast heart rate)
  • Dizziness or lightheadedness
  • Chest discomfort
  • Fainting
  • Many people have the pattern on ECG without symptoms

Diagnosis

  • Characteristic ECG pattern (delta wave, short PR interval)
  • Holter monitoring
  • Electrophysiology study

Treatment

  • Catheter ablation (definitive treatment for most symptomatic patients)
  • Medications for episodes (avoid AV nodal blockers in atrial fibrillation with WPW)
  • Risk stratification for asymptomatic patients
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • Heart Rhythm Society. WPW Information.