Monday, May 2, 2011

Q: 34 year old female with no significant past medical history is admitted with urosepsis. EKG was ordered as 'routine'. What is your diagnosis?





Answer: Wolff-Parkinson-White syndrome

Wolff–Parkinson–White syndrome (WPW) is a syndrome of pre-excitation of ventricles of the heart due to an accessory pathway called bundle of Kent. WPW syndrome gets diagnosed in asymptomatic people on EKG via delta wave, which is a slurred upstroke in the QRS complex associated with a short PR interval. (see above in EKG.