Treatment of Wolff-Parkinson-White Syndrome Presenting with Antidromic Atrioventricular Re-entrant Tachycardia in a Haemodynamically Stable Patient
Clinical Scenario
This protocol applies to a patient with Wolff-Parkinson-White (WPW) syndrome who presents with antidromic atrioventricular re-entrant tachycardia (antidromic AVRT) and is haemodynamically stable — with no signs of haemodynamic instability.
About This Presentation
Antidromic AVRT occurs in 3–8% of patients with WPW syndrome. Confirming haemodynamic stability is essential, as it directly determines which initial interventions are appropriate for this tachyarrhythmia.
Initial Management Approach
First-line management of this presentation centres on a specific physical manoeuvre technique; the complete technique, optimal positioning, and escalation pathway are set out in the full protocol.
References
DOI: 10.1093/eurheartj/ehz467
- Antidromic AVRT occurs in 3 - 8% of patients with WPW syndrome.
- Vagal manoeuvres, preferably in the supine position with leg elevation, are recommended.
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