WPW / Wolff-Parkinson-White Syndrome: ECG / EKG findings, symptoms, pathology, & treatment

Wolff Parkinson White Syndrome (WPW) explained clearly by Dr. Seheult of www.medcram.com/?Y...
Understand WPW ECG findings, pathophysiology, symptoms, treatment options, common pitfalls, and more. WPW syndrome can cause life-threatening arrhythmias via accessory pathways in the heart. Learn the key EKG findings of Wolff Parkinson White pattern as well as treatment options for WPW.
Free quiz (on this video) at the MedCram website: www.medcram.com/courses/ekg-e...
This complete ECG/EKG interpretation course provides:
- The physiology of the heart
- EKG leads and vectors
- Leads and EKG paper
- The ECG tracing
- EKG waves, complexes, and intervals (p waves, QRS complexes, PR interval etc.)
- Axis on EKG and precordial leads
- The autonomic nervous system and the heart
- Heart rate and automaticity on the ECG
- The R to R interval
- Rhythm, arrhythmias, and escape rhythms,
- Premature beats and pauses on EKG
- Bigeminy, trigeminy, and tachyarrhythmias
- V-tach and torsades de points
- Atrial and ventricular flutter
- WPW syndrome (Wolff-Parkinson-White) and WPW pattern.
- Atrial fibrillation and ventricular fibrillation on ECG
- Heart blocks and escape rhythms (1st, 2nd, and 3rd-degree heart block)
- Bundle branch blocks, hemiblocks, and fascicular blocks
- Hypertrophy (LVH) and atrial enlargement
- COPD, PE, Hyperkalemia, Digoxin and the EKG
- How to systematically read an EKG (and what a normal ECG looks like)
- Many practice EKG strips (that Dr. Seheult interprets step by step)
- EKG quizzes follow each video.
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Пікірлер: 129

  • @RashidaB
    @RashidaB3 жыл бұрын

    I'm pretty sure that's THE best I've ever heard WPW explained in addition to its treatment effects. Thank you!

  • @MAKEITGROW72
    @MAKEITGROW723 жыл бұрын

    I’m going through this experience right now.. omg

  • @mother-aiya
    @mother-aiya4 жыл бұрын

    I was recently diagnosed and I'm waiting for an appointment to decide what's going to be done. This has really helped me better understand what's going on.

  • @kurtsinger8573
    @kurtsinger85732 жыл бұрын

    I’ve had WPW for 45 years and have yet to get catheter ablation. Standing on my head has been my go to in getting out of AF. I has 1 reset in 2007 when all techniques failed and was given Varapamil (I exhibit a very wide QRS). Thank you so much. I now understand That in the event I can’t produce sufficient vagal response I know what drugs not to take To avoid another DC cardio aversion.

  • @angeldark404
    @angeldark4043 жыл бұрын

    Also, as someone who first encountered this in 2009, as a patient, the astounding amount of consumer friendly info available now is astounding and fantastic!

  • @michellemccraw4757
    @michellemccraw47574 жыл бұрын

    This video is so helpful! And you hit all the high yield points that are commonly tested on USMLE Step 2! I especially appreciate the explanation of why AV nodal blockers are actually extremely dangerous in patients with WPW with atrial fibrillation - wonderful video!

  • @joelnic8038
    @joelnic80383 жыл бұрын

    First year resident in cardiology,this video was very helpful. Thanks Dr

  • @HK-nd9fe
    @HK-nd9fe3 жыл бұрын

    I am 34 years old and I was diagnosed during normal checkup. I never had speed heart beat or any visible symptoms. My cardiologist said after echo and egc that it appears to be by birth and no medication is needed until I have any symptoms in future. I have always been into sports and luckily I never had visible symptoms. I wish it doesn't increase much with age

  • @omartorress3415
    @omartorress34155 жыл бұрын

    I had this when i was younger.. and this is the the first time in 18 years that i understand it! 2 thumbs up!

  • @BojackatronHorsemaniac

    @BojackatronHorsemaniac

    5 жыл бұрын

    I've had this for 10 years, always knew something was wrong, general doctors kept shoving it off as a regular symptom of exercise, finally get to see a Cardiologist and he diagnosed it in 5 minutes

  • @andrebatista3026

    @andrebatista3026

    5 жыл бұрын

    @@BojackatronHorsemaniac I just got diagnosed with WPW today, did the treatment work?

  • @BojackatronHorsemaniac

    @BojackatronHorsemaniac

    5 жыл бұрын

    @@andrebatista3026 Don't know yet, funny timing though, i literally got told i am going to have a coronary Ablation to fix it in the next 8-24 weeks yesterday. He told me they will do it all in one day and i can go home the day they do it too. Just a case of waiting now.

  • @derekcurtis51

    @derekcurtis51

    4 жыл бұрын

    Nagamori I had this done at 12 years old, now 19 and it completely worked. i used to have these episodes and pass out all the time and haven’t had a problem since.

  • @t_green

    @t_green

    4 жыл бұрын

    ​@@andrebatista3026 I had a catheter ablation for WPW about 10 years ago (age early 30's), it's been amazing!

  • @Medcram
    @Medcram6 жыл бұрын

    Join Dr. Seheult for the complete ECG Interpretation Video Series: www.medcram.com/courses/ekg-ecg-interpretation-explained-clearly Get 30% Off the with the coupon code: ytube30ekg

  • @bharatrawlley6434
    @bharatrawlley64344 жыл бұрын

    Explained clearly indeed! Thank you!

  • @thepalettewhispererasmr1227
    @thepalettewhispererasmr1227 Жыл бұрын

    Best explanation of WPW I've seen

  • @rekhakadam6393
    @rekhakadam63934 жыл бұрын

    Thank you sir... u made it quite easy .... 🙏🏻.

  • @drsaradagolivi3883
    @drsaradagolivi38834 жыл бұрын

    Excellent points conveyed

  • @mealex303
    @mealex3034 жыл бұрын

    I have this and was great to know more 👍

  • @zaphood2
    @zaphood25 жыл бұрын

    Thanks for a great explanation. I had my wpw ablated some years back by a a real professional team at the Sahlgrenska Hospital in Gothenburg, Sweden.

  • @mikeokino8973

    @mikeokino8973

    4 жыл бұрын

    How do you feel after ablation? Is shortness of breath and tiredness gone?

  • @ramonatrifoi468
    @ramonatrifoi4685 жыл бұрын

    Great explanation. I had cardiac ablation because of WPW and your video makes so much sense. it is also a great help in my preparation for CSCT exam.

  • @andrebatista3026

    @andrebatista3026

    5 жыл бұрын

    did it work ?

  • @lostgirl5812
    @lostgirl58125 жыл бұрын

    Very helpful sir, thank you

  • @MissilemanIII
    @MissilemanIII4 жыл бұрын

    Now I know what happen to me after surgery. Also had SVT's. Thanks! Good info

  • @sana1006

    @sana1006

    3 жыл бұрын

    me also having same problem

  • @SM.Running
    @SM.Running2 жыл бұрын

    That explanation was very helpful and clear. Thank you!

  • @Brdo666
    @Brdo6663 жыл бұрын

    Your jeff goldblum impression is very good 🙏

  • @nicebunsmagoo5346
    @nicebunsmagoo5346 Жыл бұрын

    Nice job explaining WPW I have a much better understanding now. I have asymptomatic WPW which happened to be caught on a routing checkup with my primary care doctor. I have been told that I may never show symptoms as you stated, and at least one cardiologist said they would not consider ablation if I didn't have any symptoms. I just hope that one day I don't go from not having any symptoms to some catastrophic signaling event.

  • @anitablanco7309
    @anitablanco73095 жыл бұрын

    Excellent explanation! I love your video! I am a cardiac monitor tech.

  • @Medcram

    @Medcram

    5 жыл бұрын

    Thanks for the feedback!

  • @chakritsasorn
    @chakritsasorn2 ай бұрын

    Awesome video!!!! I just saw this in person today!!!!

  • @walkingestonia
    @walkingestonia5 жыл бұрын

    Thanks. Good video!

  • @GOSPONASTICS
    @GOSPONASTICS2 жыл бұрын

    This really helped me thank you

  • @dailydoseofmedicinee
    @dailydoseofmedicinee3 жыл бұрын

    Good explanation ⭐

  • @hassanabdurubal-nabi8845
    @hassanabdurubal-nabi88456 жыл бұрын

    God bless you , great effort am an ed physician and enjoy viewing this video

  • @asimalimikial1534
    @asimalimikial15343 жыл бұрын

    Thanks for explaining

  • @parquetman
    @parquetman5 жыл бұрын

    Awesome video! I'll make a presentation soon, about WPW syndrome here, in my Medical School! And, for sure, you helped me a lot in reviewing details of it! Thanks for sharing!

  • @jihadmagdy8595
    @jihadmagdy85955 жыл бұрын

    Thank you 🙌

  • @marionsquire2538
    @marionsquire2538 Жыл бұрын

    thanks for sharing, never heard of it before.

  • @AhmedMD
    @AhmedMD6 жыл бұрын

    Thank you

  • @Bill-Piano
    @Bill-Piano5 жыл бұрын

    Thank you so much

  • @emilia1470
    @emilia1470 Жыл бұрын

    I love you and Thank you! Learning has occurred.

  • @DrRelaxxx
    @DrRelaxxx3 ай бұрын

    excuse me sir, but your content is outstanding. I have learnt more here than a 1h lecture in med school. you are AMAZING. thank you for posting your videos :)

  • @afridaafroz4192
    @afridaafroz41922 жыл бұрын

    This is amazing

  • @hasaanmahdi9295
    @hasaanmahdi9295 Жыл бұрын

    Thanks so much, I Like the easy way to discuss it

  • @dramina2326
    @dramina23264 жыл бұрын

    Awesome!

  • @b.l219
    @b.l2193 жыл бұрын

    High yield dr 👌👌👌

  • @Y-Hopper-Z
    @Y-Hopper-Z4 жыл бұрын

    Had an ablation done on me. WPW was gone but it came back, looks like round number 2 is coming.

  • @MrBluemanworld
    @MrBluemanworld3 жыл бұрын

    Guess what, you're a genius, doctor!

  • @angeldark404
    @angeldark4043 жыл бұрын

    As someone who has this, and had cardiac ablation surgery twice in two years, the first surgery doesn't always take. I'm doing fine, now, though. Don't let it get you down, and find a surgeon you can trust. ❤ You got this!

  • @ayushlal6198
    @ayushlal61983 жыл бұрын

    Thanks bro

  • @suosyathavy7066
    @suosyathavy70664 жыл бұрын

    Thanks

  • @dhiren441
    @dhiren4414 жыл бұрын

    yea beautifully explained and easily understandable if you are electric engineer.

  • @hafsarashid7777
    @hafsarashid77774 жыл бұрын

    Please do a video on Lown Ganong Levine syndrome

  • @jeremiahbaker6396
    @jeremiahbaker6396 Жыл бұрын

    excellent

  • @reindeercrossing
    @reindeercrossing2 жыл бұрын

    I was just diagnosed today! Thanks for this, I have a follow up appointment next week to get tests done.

  • @khizarhayat2937
    @khizarhayat29374 жыл бұрын

    Great illustration. But i have one query can you tell me why is the qrs complex broad in an all accessory pathway?. Shouldn’t it be narrow as there is no nodal delay or you meant both av node and accessory pathway participate in generating the qrs at two different rates and refractory period so it gives an overall broad complex ?.

  • @Shubham-wb2xz
    @Shubham-wb2xz4 жыл бұрын

    Awesome

  • @Medcram

    @Medcram

    4 жыл бұрын

    Thank you!

  • @BigSmelly57
    @BigSmelly575 жыл бұрын

    i have it now and may be having surgery on Monday to remove the pathway had it since i was born and this would mark my second surgery.

  • @BigSmelly57

    @BigSmelly57

    5 жыл бұрын

    Next monday maybe

  • @mathewweeks3045

    @mathewweeks3045

    5 жыл бұрын

    @@BigSmelly57 Good luck!

  • @mardinkurd1337

    @mardinkurd1337

    5 жыл бұрын

    how did it go??

  • @massimocampanella5228

    @massimocampanella5228

    3 жыл бұрын

    How did it go

  • @P1NKY.P0P
    @P1NKY.P0P4 жыл бұрын

    I have it right now.

  • @adonsstorre7838
    @adonsstorre78384 жыл бұрын

    Thanks for the video.I already undergone the Procedure in 2010. Thanks God, i never experience anymore palpitation.May I ask if there is possibility that i will experience again this palpitation? By the way I'm 50 yrs old now and I regularly do workouts and play ball games without any problem at all. Thank you.Hoping to hear from you

  • @thikrayatasad1938
    @thikrayatasad19385 жыл бұрын

    احبك يا اخي

  • @karenturcola4524
    @karenturcola4524 Жыл бұрын

    Just found out I have this. For over70 years it hasnt been a problem at all. Never had anykind of symptoms.

  • @KrishnaSharma-yy1vt
    @KrishnaSharma-yy1vt5 жыл бұрын

    I have short pr interval and sound rhythm. Is it dangerous to me. Should I consult to Dr. Please suggest appropriate advice

  • @zhanglisa4548
    @zhanglisa45483 жыл бұрын

    I have type A WPW syndrome. Meanwhile I also have mild pectus excavatum. Being a geneticist myself, I am very nervous to think about the possible linkage between these two defects. But I don’t want to perform any research on myself. I am very nervous about passing the genetic mutation to my offspring because it’s showing a dominant inheritance pattern in my family.

  • @sana1006
    @sana10063 жыл бұрын

    Thanksss a lot I have WPW MY HEART Beat is 250 From MAURITIUS

  • @tomcruise9317
    @tomcruise9317 Жыл бұрын

    Sir could you do video on how injury ischemia infraction look plzz sir very confusing

  • @joshmatthew4125
    @joshmatthew41255 жыл бұрын

    Good explanation. The best part of wpw are the shots of Adenosine in the ER oh ya!

  • @eddy45686

    @eddy45686

    3 жыл бұрын

    Why?

  • @joshmatthew4125

    @joshmatthew4125

    3 жыл бұрын

    After an hour or two of tachycardia you get lightheaded. The adenosine constricts you heart and then gives you a huge rush. Especially when you get multiple shots the lower doses never seem to work. 12+mg always worked. I got 18mg at Cleveland Clinic once WOW! Eventually had my WPW corrected with open heart after 4 failed ablazons.

  • @eddy45686

    @eddy45686

    3 жыл бұрын

    @@joshmatthew4125 I find I get short of breath and an impending sense of doom with cold sweats just like a heart attack. And once it was a heart attack but this time no troponin rise. Had these about 6 times so I guess it not 6 heart attacks but sure feel like one..

  • @silvanamurrizi9301
    @silvanamurrizi93018 ай бұрын

    I discovered 2 months ago that i have wpw i've never have symptoms, until 2 weeks before my final exam i had my first symptoms, it was horrible i thought i was dying, my doctor said i need electrophysological studies and ablation , now i'm taking medicine , i've always been very healthy now that i've discovered that i'm sick , i'm living with the fear that i might die at every moment even though i know is not life threatning as my doctor said .

  • @mrseddiediaz
    @mrseddiediaz2 жыл бұрын

    Would this show up on a regular five-lead heart monitor or do you need a 12 lead EKG to really see it?

  • @kurayC
    @kurayC3 жыл бұрын

    Hello , I have WPW I dont have Avrnt attack but I feel like I have a second heart beat from my left side (heart) I need a ablation ?

  • @faithann9293
    @faithann92933 жыл бұрын

    I think my previous doctor forgot about this because I just found out I had this even though I've had it since birth.

  • @dadaghareflexprint3013

    @dadaghareflexprint3013

    3 жыл бұрын

    same situation my doctor said same ... i have an appointment day after i think i am going do this for second time

  • @tammmy2170
    @tammmy21704 жыл бұрын

    Mine was ablated never had it again. 7th person to have it done at mayos hospital. Never had it again but barely survived it. Early 30 s

  • @avdive1

    @avdive1

    4 жыл бұрын

    What you mean "barely survived it" can you explain some more please ?

  • @NabeelKhan-lx2ly
    @NabeelKhan-lx2ly4 жыл бұрын

    Dr I read an article where it said that sotalol can be given in patients of wpw with structural heart disease

  • @Mutantcy1992

    @Mutantcy1992

    4 жыл бұрын

    Sounds like it would depend. From 8:10 on he talks about the case where a beta blocker would be ineffective and where it would be effective

  • @j.d.mccreary9432
    @j.d.mccreary94323 жыл бұрын

    I found out I had this 1 yrs ago after a procedure, steroid shot , my heart started going into strange fits. I found out this month it is my right & left side. My EKGs are always different. Can both sides go at same time? Doctor informed me that if my heart goes over 200 BPM and doesn't decline to go to ER and get adenosine. Been having chest pains and in arm but don't know if this is From WPW. Thanks for the video still have questions as to how my heart should beat.

  • @Dull1983

    @Dull1983

    3 жыл бұрын

    Its happened because steroid?

  • @jessibrown907
    @jessibrown9073 жыл бұрын

    I was diagnosed in 2016 and got Ablation in January 2017. Never came back until recently I was joking and feel it twice in a week all while joking. I do workouts an hour or more but don't know if it's a good idea. But i believe exercise help the heart. My doctor told me I can exercise. I don't think this WPW will never get cured its just like a ticking time bomb. I feel like I can die at any time especially while doing workouts

  • @kinglangren

    @kinglangren

    3 жыл бұрын

    I feel I need to get the ablation as it seems to get worse as I get older. It definitely gets worse with alcohol and sugar. Hopefully yours gets better. Sometimes a second surgery is needed.

  • @grandstorm3358
    @grandstorm33585 жыл бұрын

    I've kind of recently been bumped back and forth between WPW Syndrome and Pattern by doctors, and all of them including cardiologists are throwing every type of beta blocker at me. Your video says beta blockers are actually very bad for wpw. So then are doctors trying to kill me? Should I be asking them for Procainamide instead?

  • @eddy45686

    @eddy45686

    3 жыл бұрын

    Only wpw with a fib no beta blockers

  • @oepolish
    @oepolish4 жыл бұрын

    I've had SVTs since my 20s, they never found any structural abnormalities and I'll have an episode once a year to year and a half. I've never been diagnosed with WPW but I was told I had a vitamin D deficiency. I'm 38 now. I do regular exercise and never have any issues except when I was really out of shape.

  • @jessicalisa7100

    @jessicalisa7100

    4 жыл бұрын

    What were your symptoms im currently seeing a cardiologist had an echo done & got diagnosed with mitral valve regurgitation & now i wore a heart monitor & im getting a 2nd opnion for " Svt , because my heart rate went up too 170 & the lpwest was 49 & reg was 88

  • @mutated__donkey5840

    @mutated__donkey5840

    4 жыл бұрын

    Jessica Lisa do you have a CHB?

  • @Caveman2437
    @Caveman2437 Жыл бұрын

    One of my ECG 6 lead looks like that but worst.. its continuous

  • @kurayC
    @kurayC4 жыл бұрын

    Today I learn I have WPW too

  • @samuelbeltrami5647
    @samuelbeltrami56474 жыл бұрын

    Can I do bodybuilding if I have this syndrome?

  • @Mutantcy1992

    @Mutantcy1992

    4 жыл бұрын

    There's a procedure you can get that I assume blocks or severs the auxiliary connection (bundle of kent), but not a doctor, just have a fried with WPW and there is a procedure she's getting done to help with it.

  • @nusaibahkamaruzaman1259
    @nusaibahkamaruzaman12595 жыл бұрын

    Does the patient or someone with WPW syndrome will show the same EKG result shown every time she/he get access to EKG or sometimes the EKG result look normal and sometimes don't? Or is it necessary for a person to be having the symptoms all the time to be diagnosed with WPW or if she/he may have it even just occasionally experiences the symptoms?

  • @swapnilnaik515

    @swapnilnaik515

    5 жыл бұрын

    I suppose that someone with WPW will always show the same EKG result regardless... I doubt if it can be normal as the accessory pathway will always be there, unless ablated by radiofrequency ablation. I also suppose that the person need not have symptoms all the time and may ocassionally experience symptoms

  • @jamiep8934

    @jamiep8934

    4 жыл бұрын

    Im 42 and just found out I have this last week.

  • @eddy45686

    @eddy45686

    3 жыл бұрын

    Swapnil Naik there is a concealed pathway no ekg findings

  • @leokazo1089
    @leokazo1089 Жыл бұрын

    I have done an electrophysiological study. The doctors said that they couldnt locate the AP cause it wouldn't work and if so it would show up only for couple of seconds. 1 year later i did an ECG for a checkup and they still see it there. Can anyone explain me the situation here??? I have so many questions since the doctors didnt care to explain much. They just said its too small and it should not cause me any trouble

  • @hgunuc
    @hgunuc5 жыл бұрын

    İ think we no longer use amiadorone in WPW

  • @AV-ir5hs
    @AV-ir5hs5 жыл бұрын

    Hey there I have been diagnosed with WPS- I was given a beta blocker Atenolol 25mg - taken with no effect.

  • @AV-ir5hs

    @AV-ir5hs

    5 жыл бұрын

    What do you think of this as a treatment

  • @aldinhasanovic2680

    @aldinhasanovic2680

    4 жыл бұрын

    I take 50mg x 2 a day. Helps a little, waiting for ablation.

  • @saneerish

    @saneerish

    4 жыл бұрын

    Hey I am put on metoprolol 25mgX2 day it does not seem to effect in wpw it is not slowing my heart rate much .How did betablocker work with u

  • @robariano
    @robariano Жыл бұрын

    Amiodarone is no longer considered safe in WPW. It does not consistently prolong the accessory pathway refractory period and, thus cannot be considered protective against sudden death in WPW syndrome.

  • @sharonjarmon661
    @sharonjarmon6613 жыл бұрын

    I have wpw had two heart surgrey still have it bete blocker don't work start you up

  • @rikkelarsen589
    @rikkelarsen5894 жыл бұрын

    I just find out yesterday that i have this....😪😔

  • @rachelpierre-louis2053

    @rachelpierre-louis2053

    3 жыл бұрын

    You'll be alright.

  • @horndoggreg
    @horndoggreg2 жыл бұрын

    I have wpw i have mass beating out of control like a pissed of drummer 😤 smashing his drums 🥁 shortness of breath lightheadedness and it makes me taste blood in my mouth

  • @mannancgpa
    @mannancgpa4 жыл бұрын

    My PR interval is 118ms, is it fine???

  • @roberttermini1230
    @roberttermini12305 жыл бұрын

    I have wpw and it sucks my Dr did a bad job fixing me a one hour procedure took 4 hours stayed over night went home the next morning felt good all day then died later that night after the ambulance got me to the er now the wpw problem went from bad to worse from once every 6 months to a year to every day and now I have a pace maker so life suck for me but I'm ok with it because I know it could be worse

  • @mardinkurd1337

    @mardinkurd1337

    5 жыл бұрын

    cant tell how serious this is

  • @mutated__donkey5840

    @mutated__donkey5840

    4 жыл бұрын

    Zion Za you didn’t die

  • @marvona3531
    @marvona35316 жыл бұрын

    👍✳️👍✳️👍✳️

  • @Kez_abi
    @Kez_abi4 жыл бұрын

    Anyone else watching this who has WPW? Iam trying to understand my own ilness because paramedics don't know a lot

  • @milehighhannah4408

    @milehighhannah4408

    4 жыл бұрын

    Keziah Yates get an ablation!

  • @Kez_abi

    @Kez_abi

    4 жыл бұрын

    @@milehighhannah4408 I don't need one just need a document that says what it is

  • @reidbrian08

    @reidbrian08

    4 жыл бұрын

    Are you geting it fixed? I had an ablation 25 years ago. Minor surgery

  • @goldengoatee2237

    @goldengoatee2237

    4 жыл бұрын

    @@reidbrian08 did it work? How many ablations?

  • @marvona3531
    @marvona35316 жыл бұрын

    ✳️👍✳️👍✳️👍

  • @jimfaust6342
    @jimfaust63423 жыл бұрын

    Meat Loaf has this

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