WPW-syndrome

Description:

WPW-syndrome - the most frequent syndrome of premature excitement of ventricles (it observe at 0,1-0,3% of the population in the general population) arising in the presence of an additional bunch of Kent. 70% of people at the same time have no symptoms of a heart disease.

WPW-syndrome symptoms:

WPW-syndrome signs. At a part of sick clinical manifestations can not be. The main manifestation of a WPW-syndrome - arrhythmia. More than in 50% of cases there are paroxysmal tachyarrhythmias: supraventricular reciprocal (60-80% of all of a tachyarrhythmia), fibrillation of auricles (10-40%), atrial flutter (5%). Quite often the syndrome arises at heart diseases - Ebshtayn's anomaly, a hypertrophic cardiomyopathy, DMPP, a prolapse of the mitral valve.

WPW-syndrome reasons:

The etiology of a WPW-syndrome  consists in anomaly of development of the carrying-out system of heart - existence of an additional bunch of Kent.

Treatment of the WPW-syndrome:

Maintaining tactics
1. At the asymptomatic course of treatment it is not required.
2. At faints - an electrophysiologic research with catheter destruction of DPP (it is effective at 95% of patients)
3. At atrioventricular reciprocal and atrial Bouveret's diseases - новокаинамид, propranolol, adenosine, verapamil, diltiazem
4. At an atrial fibrillation attack at the patient with a syndrome of VPU it is impossible to appoint cardiac glycosides, verapamil, also purpose of diltiazem and V-adrenoblockers is dangerous
5. At atrial fibrillation - новокаинамид 10 mg/kg in/in (at rate of administering no more than 100 mg/min.) or a countershock (means of the choice). At patients 70 years are more senior, and also at the expressed heart and renal failure reduce a dose of a novokainamid twice
6. At development of fibrillation of ventricles - all complex of resuscitation actions.