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Chapters 12 and 17
Wolff-Parkinson-White
Chapter 12
Accessory Pathways
Wolff-White-Parkinson
Wide QRS due to early depolarization not due to a delay in depolarization
Shortened PR interval
Upstroke QRS complex is slurred; delta wave
Wolff-Parkinson-White
F.Y.I.
As a general rule: the initial QRS complex (delta wave) vector will point away from the area of the ventricles that is first to be stimulated by the bypass tract
Wolff-Parkinson-White
Bypass Tracts F.Y.I. Left Lateral negative delta waves in I and/or aVL and positive in V1 Posterior positive delta waves in most of the precordial (chest) leads and negative in the inferior leads Right negative delta waves in V1 and V2 and positive in I and V6 Anteroseptal (anterior) negative delta waves in leads V1 and V2
WPW Significance
AV Heart Block
Chapter 17
15
2nd Degree, Mobitz Type I 2nd Degree, Mobitz Type II 3rd Degree Block
2:1 AV Blocks
Two or more consecutive non-conducted sinus P waves Note the consistent PR intervals
3. The P wave bears no relation to the QRS complexes, and the PR intervals are completely variable 4. (Some properly timed P waves may be conducted)
AV Dissociation
SA is pacing the atria
AV Dissociation
AV Dissociation