Wolff-Parkinson-White syndrome EKG examples

Jump to: navigation, search

Wolff-Parkinson-White syndrome Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Differentiating Wolff-Parkinson-White syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Approach

History and Symptoms

Electrocardiogram

EKG Examples

Other Diagnostic Studies

Treatment

Risk Stratification

Cardioversion

Medical Therapy

Catheter Ablation

Prophylaxis

Consensus Statement

Case Studies

Case #1

Wolff-Parkinson-White syndrome EKG examples On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Wolff-Parkinson-White syndrome EKG examples

CDC onWolff-Parkinson-White syndrome EKG examples

Wolff-Parkinson-White syndrome EKG examples in the news

Blogs on Wolff-Parkinson-White syndrome EKG examples

Directions to Hospitals Treating Deep vein thrombosis

Risk calculators and risk factors for Wolff-Parkinson-White syndrome EKG examples

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

For the main page on Wolff-Parkinson-White syndrome click here

EKG examples

Shown below is an EKG depicting delta waves in V1, V2, and aVF, coupled with short PR interval suggestive of WPW syndrome.

Wolff-Parkinson-White syndrome1.png

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG depicting delta waves (slurred up-stroking QRS complex) in precordial leads, aVL, and aVF, wide QRS complexes, short PR interval and left axis deviation suggesting WPW syndrome. There is an rsr1 pattern in the chest lead V1.

Wolff-Parkinson-White syndrome2.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG of Wolff-Parkinson-White syndrome (antero-lateral pathway) depicting delta waves in leads V3, V4, V5, and V6, wide QRS complexes (>110 ms) and short PR interval.

Wolff-Parkinson-White syndrome3.jpg

Shown below is an EKG of type B Wolff-Parkinson-White syndrome depicting delta waves in leads I, aVL and V2-V6, short PR interval and non-specific ST changes.

WPW002.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG of Wolff-Parkinson-White syndrome (epicardial pathway) depicting delta waves (slurred up-stroking QRS) in precordial leads with wide QRS complexes.

Wolff-Parkinson-White syndrome6.jpg

Shown below is an EKG of Wolff-Parkinson-White syndrome (left posterior pathway) depicting in delta waves in V5 and V6 along with wide QRS complexes and short PR interval.

Wolff-Parkinson-White syndrome7.jpg

Shown below is an EKG of Wolff-Parkinson-White syndrome (posteroseptal pathway) depicting delta waves in leads I and precordial leads along with wide QRS complexes, left axis deviation and non-specific ST changes.

Wolff-Parkinson-White syndrome8.jpg

Shown below is an EKG showing abnormal QRS form with delta waves seen best in the precordial leads and shortening of PR interval signifying aberrant conduction pathway.

Wolff-Parkinson-White syndrome9.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG showing delta waves in leads I, II, V4, and V5 and short PR interval in a patient with Wolff-Parkinson-White Syndrome.

Wolff-Parkinson-White-syndrome11.jpg

Shown below is an EKG of WPW syndrome depicting delta wave in leads II, V2-6 along with wide QRS complexes, short PR interval and rsr1 pattern in V1.

Wolff-Parkinson-White syndrome12.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG of type A Wolff-Parkinson-White syndrome depicting delta waves in leads II, III, aVF, and in precordial leads along with wide QRS complexes, an rsr1 pattern in the lead V1 and left axis deviation.

Wolff-Parkinson-White syndrome13.jpg

Shown below is an EKG of WPW syndrome. EKG demonstrates a delta wave in the precordial leads, wide QRS complexes and short PR interval.

Wolff-Parkinson-White syndrome14.png

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG of type A WPW syndrome demonstrating delta waves in the precordial leads, wide QRS complexes (>110 milli sec), prominent R waves in leads V1 and V2.

Wolff-Parkinson-White syndrome15.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG of WPW syndrome type A demonstrating delta waves in the precordial leads and limb leads III and aVF along with tall R waves in V1 and V2.

Wolff-Parkinson-White syndrome16.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG of WPW syndrome type A demonstrating delta waves in precordial leads and limb leads II, III and aVF along with prominent R waves in leads V1 and V2 and Rsr pattern in lead V1.

Wolff-Parkinson-White syndrome17.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG of WPW syndrome type B demonstrating delta waves along with prominent S wave in V1, prominent R waves in left precordial leads, wide QRS complexes and left axis deviation.

Wolff-Parkinson-White syndrome18.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG of WPW syndrome type B demonstrating delta waves and short PR interval in limb leads I and aVL and chest leads V2 - 6 and prominent R waves in lateral chest leads. There is also left axis deviation.

Wolff-Parkinson-White syndrome19.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG of WPW syndrome type B demonstrating wide QRS complexes with delta waves and short PR interval in limb leads I and aVL and chest leads V2 - 6 and prominent S waves in lead V1 and prominent R waves in lateral chest leads. There is also left axis deviation.

Wolff-Parkinson-White syndrome20.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG of WPW syndrome type B demonstrating wide QRS complexes with delta waves in limb leads I and II and chest leads V4 - 6 and prominent S waves in leads v1 and V2 and prominent R waves in lateral chest leads.

Wolff-Parkinson-White syndrome21.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG of WPW syndrome type B demonstrating wide QRS complexes with delta waves and prominent S waves in leads v1 and V2 and prominent R waves in lateral chest leads.

Wolff-Parkinson-White syndrome22.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG showing WPW syndrome with an orthodromic circus movement tachycardia (CMT): Narrow complex tachycardia with a rate of 200 bpm (RR interval 320 ms). After 5 cycles, the tachycardia suddenly stops and four multiform complexes are seen without any P waves. These complexes should be regarded as a polymorphic ventricular tachycardia, which is not uncommon after an adenosine-terminated supraventricular tachycardia. A 5th complex is preceded by a P wave. The subsequent 4 complexes show a widened QRS complex and all are immediately preceded by a P wave. The initial phase of the QRS complex is slurred and positive in all available leads. Sinus rhythm continues thereafter with gradual abbreviation of the QRS complex until a 120 msec wide QRS complex remains.

Wolff-Parkinson-White syndrome23.jpg

The same patient's EKG during sinus rhythm. A discrete delta wave is clearly visible. The morphology of the delta wave suggests a left posterior Kent bundle.

Wolff-Parkinson-White syndrome24.jpg

Shown below is an EKG showing sinus rhythm with short PR interval (<120 ms) and the slurred upstroke of the QRS (delta wave). This is best seen in leads I and aVL, V2 to V6. Of interest is that the delta wave is negative in the inferior leads and gives the false impression of an inferior wall myocardial infarction. This tracing show WPW ventricular pre-excitation.

Wolff-Parkinson-White syndrome25.jpg

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG demonstrating delta waves in the precordial leads and limb leads I and aVL along with wide QRS, short PR interval and left axis deviation suggesting WPW syndrome. The accessory pathway is located in the left posteroseptal region.

Wolff-Parkinson-White syndrome 12 lead EKG.png

Shown below is an EKG depicting atrial flutter in a patient with WPW syndrome. There is 1:1 conduction down a bypass tract.

Atrial Flutter with WPW.jpg

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:ECG_Aflutt_1to1.jpg


Sources

Copyleft images obtained courtesy of ECGpedia, http://en.ecgpedia.org/index.php?title=Special:NewFiles&offset=&limit=500

References


Linked-in.jpg