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Wolff Parkinson White Syndrome treatment

Wolff-Parkinson-White Syndrome (WPW)

Wolff-Parkinson-White Syndrome (WPW), also known as Preexcitation syndrome, can involve episodes of rapid heart rate (tachycardia) and usually has an abnormal baseline ECG caused by extra electrical pathways (circuits) in the heart.

In a normal heart, electrical signals use only one path when they move through the heart. As the electrical signal moves from the heart's upper chambers (the atria) to the lower chambers (the ventricles), it causes the heart to beat. For the heart to beat properly, the timing of the electrical signal is important. If there's an extra conduction pathway, the electrical signal may arrive at the ventricles too soon. This condition is called Wolff-Parkinson-White syndrome (WPW).

Wolff-Parkinson-White is one of the most common causes of fast heart rate disorders (tachyarrhythmias) in infants and children.



Some people with Wolff-Parkinson-White syndrome may have just a few episodes of rapid heart rate. Others may experience the rapid heart rate once or twice a week. Sometimes the patient has no symptoms. In these cases, the extra pathway is often found when a doctor has requested an ECG for some other purpose.

Many people with this syndrome who have symptoms or episodes of tachycardia (rapid heart rhythm) may have:
•  dizziness
•  light-headedness
•  chest palpitations
•  chest pain or chest tightness
•  fainting
•  shortness of breath
•  cardiac arrest (rarely)

Other people with WPW never have tachycardia or other symptoms. About 80 percent of people with symptoms first have them between the ages of 11 and 50.

Wolff-Parkinson-White syndrome may be revealed by the following tests:
•  ECG (electrocardiogram) may show an abnormality called a "delta" wave
•  Continuous ambulatory monitoring (Holter monitor)
•  EPS, an intracardiac electrophysiologic study, may help identify the location of the extra electrical pathway in Wolff-Parkinson-White syndrome



People without symptoms usually don't need treatment. People with episodes of tachycardia can often be treated with medication. But sometimes such treatment doesn't work. Then they'll need to have more tests of their heart's electrical system.

To end a spell of tachycardia (fast heart rate) that will not stop with medicines, doctors may use electrical cardioversion (shock).

The most common procedure used to interrupt the abnormal pathway is radiofrequency or catheter ablation.

In catheter ablation, a catheter (tube) inserted into an artery through a small cut near your groin, to reach the heart. When the tip reaches the heart, the small area that is causing the fast heart rate is destroyed using a special type of energy called radiofrequency. The success rate for this procedure ranges between 85 - 95%. It is currently the preferred therapeutic approach to treat Wolff-Parkinson-White syndrome in the United States.

According to the New England Journal of Medicine:
In asymptomatic, high-risk children with the Wolff-Parkinson-White syndrome, prophylactic catheter ablation performed by an experienced operator reduces the risk of life-threatening arrhythmias.

Open heart surgery may also provide a permanent cure for Wolff-Parkinson-White syndrome. However, most patients typically have catheter ablation. Surgery is usually done only if the patient must have surgery for other reasons.


Cost of treatment

For affordable treatment of Wolff-Parkinson-White syndrome, contact Healthbase . Healthbase is an award-winning medical tourism facilitator connecting patients to low cost  high quality medical care abroad . Login or register to Healthbase for more information about treatment of Wolff-Parkinson-White syndrome in India , Singapore and other medical tourism destinations .

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