Wolff-Parkinson-White syndrome
ICD-10 I45.6 ICD-11 BC81.4

Treatment of Wolff-Parkinson-White syndrome presenting as pre-excited atrial fibrillation in a haemodynamically stable patient

When Wolff-Parkinson-White syndrome manifests as pre-excited atrial fibrillation and the patient remains haemodynamically stable — without signs of haemodynamic instability — a specific pharmacological strategy is indicated.

Clinical scenario

Pre-excited atrial fibrillation in a haemodynamically stable patient (no haemodynamic instability). The absence of haemodynamic compromise is the key qualifying condition that guides the selection of this management approach.

Treatment approach

An intravenous antiarrhythmic agent is the cornerstone of management in this stable setting. The full protocol specifies the recommended agent(s), the sequence of options, and the considerations that govern their use.

Full regimen available in the structured protocol →
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References

DOI: 10.1093/eurheartj/ehz467

Ibutilide or procainamide (i.v.) should be considered.

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