Wolff-Parkinson-White syndrome EKG examples: Difference between revisions

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<div align="left">
Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome (left posterior pathway).
<gallery heights="175" widths="175">
[[File:WPWLP.jpg|center|800px]]
Image:WPWLP.jpg|Wolf Parkinson White Left Posterior Pathway
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Image:WPW.jpg|Wolf Parkinson White Syndrome Posteroseptal Pathway
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</div>
 


Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome (Posteroseptal pathway).
[[File:WPW.jpg|center|800px]]
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Shown below is an EKG showing abnormal QRS form with delta waves seen best in the V leads.


Shown below is an EKG showing abnormal QRS form with [[delta wave]]s seen best in the V leads.
[[File:Wolff-Parkinson-White syndrome9.jpg|center|800px]]
[[File:Wolff-Parkinson-White syndrome9.jpg|center|800px]]
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Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome demonstrating upstroke of the QRS-complex which is 'slurred', resulting in a delta-wave (arrow).
[[File:Rhythm_WPW.png|center|800px]]
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<gallery heights="175" widths="175">
Image:Rhythm_WPW.png|The upstroke of the QRS-complex is 'slurred', resulting in a delta-wave (arrow).
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Shown below is an electrocardiogram of delta waves in a patient with Wolff-Parkinson-White Syndrome (WPW)
[[File:Wolff-Parkinson-White-syndrome.jpg|center|800px]]
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<div align="left">
Shown below is a 12 lead electrocardiogram of WPW syndrome.
<gallery heights="175" widths="175">
[[File:wpw_full_ecg.jpg|center|800px]]
image:Wolff-Parkinson-White-syndrome.jpg|Delta waves in a patient with Wolff-Parkinson-White Syndrome (WPW)
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</gallery>
</div>


Shown below is a 12 lead electrocardiogram of WPW syndrome.
[[File:wpw_full_ecg2.jpg|center|800px]]
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<div align="left">
Shown below is a 12 lead electrocardiogram of WPW syndrome.
<gallery heights="175" widths="175">
[[File:wpw_full_ecg3.png|center|800px]]
Image:wpw_full_ecg.jpg|WPW on a 12 lead ECG.
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Image:wpw_full_ecg2.jpg|Another example of WPW on a 12 lead ECG.
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</div>


Shown below is a 12 lead electrocardiogram of WPW syndrome type I.
[[File:Ganseman WPW type 1.1.jpg|center|800px]]
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<div align="left">
Shown below is a 12 lead electrocardiogram of WPW syndrome type I.
<gallery heights="175" widths="175">
[[File:Ganseman WPW type 1.2.jpg|center|800px]]
Image:wpw_full_ecg3.png|12 lead EKG: Wolff Parkinson White Syndrome
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Image:Ganseman WPW type 1.1.jpg|12 lead EKG: Wolff Parkinson White Syndrome Type I. [http://www.ganseman.com/ecgbibnl.htm#_top000 Courtesy of Dr Jose Ganseman]
</gallery>
</div>


Shown below is a 12 lead electrocardiogram of WPW syndrome type I.
[[File:Ganseman WPW type 1.3.jpg|center|800px]]
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Shown below is a 12 lead electrocardiogram of WPW syndrome type II.
[[File:Ganseman WPW type 2.1.jpg|center|800px]]
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<div align="left">
Shown below is a 12 lead electrocardiogram of WPW syndrome type II.
<gallery heights="175" widths="175">
[[File:Ganseman WPW type 2.2.jpg|center|800px]]
Image:Ganseman WPW type 1.2.jpg|12 lead EKG: Wolff Parkinson White Syndrome Type I. [http://www.ganseman.com/ecgbibnl.htm#_top000 Courtesy of Dr Jose Ganseman]
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Image:Ganseman WPW type 1.3.jpg|12 lead EKG: Wolff Parkinson White Syndrome Type I. [http://www.ganseman.com/ecgbibnl.htm#_top000 Courtesy of Dr Jose Ganseman]
</gallery>
</div>


Shown below is a 12 lead electrocardiogram of WPW syndrome type II.
[[File:Ganseman WPW type 2.3.jpg|center|800px]]
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<div align="left">
Shown below is a 12 lead electrocardiogram of WPW syndrome type II.
<gallery heights="175" widths="175">
[[File:Ganseman WPW type 2.4.jpg|center|800px]]
Image:Ganseman WPW type 2.1.jpg|12 lead EKG: Wolff Parkinson White Syndrome Type II. [http://www.ganseman.com/ecgbibnl.htm#_top000 Courtesy of Dr Jose Ganseman]
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Image:Ganseman WPW type 2.2.jpg|12 lead EKG: Wolff Parkinson White Syndrome Type II. [http://www.ganseman.com/ecgbibnl.htm#_top000 Courtesy of Dr Jose Ganseman]
</gallery>
</div>


<div align="left">
Shown below is a 12 lead electrocardiogram of WPW syndrome type II.
<gallery heights="175" widths="175">
[[File:Ganseman WPW type 2.5.jpg|center|800px]]
Image:Ganseman WPW type 2.3.jpg|12 lead EKG: Wolff Parkinson White Syndrome Type II. [http://www.ganseman.com/ecgbibnl.htm#_top000 Courtesy of Dr Jose Ganseman]
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Image:Ganseman WPW type 2.4.jpg|12 lead EKG: Wolff Parkinson White Syndrome Type II. [http://www.ganseman.com/ecgbibnl.htm#_top000 Courtesy of Dr Jose Ganseman]
Image:Ganseman WPW type 2.5.jpg|12 lead EKG: Wolff Parkinson White Syndrome Type II. [http://www.ganseman.com/ecgbibnl.htm#_top000 Courtesy of Dr Jose Ganseman]
</gallery>
</div>


WPW syndrome with an [[orthodromic]] circus movement [[tachycardia]]: 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 wave]]s. 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.
[[File:Puzzle_2007_5_198_fig1.jpg|center|800px]]


<div align="left">
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]].
<gallery heights="175" widths="175">
[[File:Puzzle_2007_5_198_fig2.jpg|center|800px]]
Image:Puzzle_2007_5_198_fig1.jpg|WPW syndrome with an orthodromic circus movement tachycardia: 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 wave]]s. 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.
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Image:Puzzle_2007_5_198_fig2.jpg|The same patient's EKG during sinus rhythm. A discrete Δ wave is clearly visible. The morphology of the Δ wave suggests a left posterior Kent bundle.
</gallery>
</div>


==Sources==
==Sources==

Revision as of 15:00, 16 October 2012

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 electrocardiogram of Wolff-Parkinson-White syndrome.


Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome.


Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome (antero-lateral pathway).


Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome depicting delta wave.


Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome (antero-septal pathway).


Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome (antero-septal pathway).


Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome (epicardial pathway).


Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome (left posterior pathway).


Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome (Posteroseptal pathway).

File:WPW.jpg

Shown below is an EKG showing abnormal QRS form with delta waves seen best in the V leads.


Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome demonstrating upstroke of the QRS-complex which is 'slurred', resulting in a delta-wave (arrow).


Shown below is an electrocardiogram of delta waves in a patient with Wolff-Parkinson-White Syndrome (WPW)

File:Wolff-Parkinson-White-syndrome.jpg

Shown below is a 12 lead electrocardiogram of WPW syndrome.

File:Wpw full ecg.jpg

Shown below is a 12 lead electrocardiogram of WPW syndrome.

File:Wpw full ecg2.jpg

Shown below is a 12 lead electrocardiogram of WPW syndrome.

File:Wpw full ecg3.png

Shown below is a 12 lead electrocardiogram of WPW syndrome type I.

File:Ganseman WPW type 1.1.jpg

Shown below is a 12 lead electrocardiogram of WPW syndrome type I.

File:Ganseman WPW type 1.2.jpg

Shown below is a 12 lead electrocardiogram of WPW syndrome type I.

File:Ganseman WPW type 1.3.jpg

Shown below is a 12 lead electrocardiogram of WPW syndrome type II.

File:Ganseman WPW type 2.1.jpg

Shown below is a 12 lead electrocardiogram of WPW syndrome type II.

File:Ganseman WPW type 2.2.jpg

Shown below is a 12 lead electrocardiogram of WPW syndrome type II.

File:Ganseman WPW type 2.3.jpg

Shown below is a 12 lead electrocardiogram of WPW syndrome type II.

File:Ganseman WPW type 2.4.jpg

Shown below is a 12 lead electrocardiogram of WPW syndrome type II.

File:Ganseman WPW type 2.5.jpg

WPW syndrome with an orthodromic circus movement tachycardia: 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.

File:Puzzle 2007 5 198 fig1.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.

File:Puzzle 2007 5 198 fig2.jpg

Sources

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

References

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