Treatment of Wolff-Parkinson-White Syndrome in Orthodromic Atrioventricular Re-Entrant Tachycardia — Haemodynamically Stable Patient
Clinical Scenario
This protocol addresses patients with Wolff-Parkinson-White (WPW) syndrome who present with orthodromic atrioventricular re-entrant tachycardia (orthodromic AVRT) and remain haemodynamically stable — with no signs of haemodynamic compromise or instability.
Treatment Approach
In this scenario, the structured management pathway includes an electrical cardioversion-based intervention. The specific indication and recommended technique are detailed in the full protocol.
The complete regimen — including sequencing and technique — is available below.
References
DOI: 10.1093/eurheartj/ehz467
- In orthodromic AVRT, adenosine (6-18 mg i.v. bolus) is recommended if vagal manoeuvres fail and the tachycardia is orthodromic.
- Synchronized DC cardioversion is recommended when drug therapy fails to convert or control the tachycardia.
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