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Questions and Answers
What is the definitive management of the condition in a 26-year-old female patient with palpitations and a specific ECG finding?
Accessory pathway ablation
Which treatment has the highest percentage likelihood for treating the condition?
What is the percentage likelihood of AV node ablation as a treatment option?
Which of the following treatments has the lowest percentage likelihood for this patient's condition?
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Study Notes
Patient Presentation
- A 26-year-old female presents with palpitations
- ECG reveals a shortened PR interval and wide QRS complexes with a slurred upstroke in lead II
Diagnosis:
- This ECG pattern is consistent with Wolff-Parkinson-White syndrome (WPW)
Definitive Management
- Accessory pathway ablation is first-line treatment and has an 84% likelihood of being employed
- AV node ablation is another option and is used in 7% of cases
- Permanent pacemaker placement and lifelong amiodarone are less common but have a 6% and 2% likelihood respectively
- Lifelong aspirin is rarely used in WPW, with only a 1% chance of being prescribed
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Description
This quiz explores the management strategies for Wolff-Parkinson-White syndrome (WPW), including first-line treatments and their respective likelihoods. It covers findings from ECG presentations and outlines different treatment options for effective patient care.
