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A Subtle ECG Change Leading to Wolff-Parkinson-White Diagnosis Under General Anesthesia: A Case Report.

Wolff-Parkinson-White (WPW) syndrome is a congenital cardiac preexcitation syndrome that presents with an uninhibited electrical conduction between the atria and ventricles via an accessory pathway that has the potential for life-threatening arrhythmias. This is a case report of an asymptomatic/undi...

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Publicado en:AANA Journal Vol. 91; no. 6; pp. 446 - 449
Autor principal: Groves, Cory
Formato: case study pictorial tracings Journal Article
Publicado: American Association of Nurse Anesthetists Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
      vid: 91
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      pub: American Association of Nurse Anesthetists
      place: Park Ridge, Illinois
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        atl: A Subtle ECG Change Leading to Wolff-Parkinson-White Diagnosis Under General Anesthesia: A Case Report.
      aug:
        au: Groves, Cory
        affil: Instructor in Anesthesiology, College of Medicine of Mayo Clinic, School of Health Sciences and the Mayo Clinic School of Health Sciences, Doctor of Nurse Anesthesia Program (MCSHS DNAP), Rochester, Minnesota
      sug:
        subj:
          Wolff-Parkinson-White Syndrome Diagnosis
          Electrocardiography
          Arrhythmia, Sinus Symptoms
          Anesthesia, General Adverse Effects
          Female
          Adult
          QRS Complex
          Arrhythmia, Sinus Risk Factors
          Catheter Ablation
          Post Anesthesia Care
          Adult: 19-44 years
          Female
      ab: Wolff-Parkinson-White (WPW) syndrome is a congenital cardiac preexcitation syndrome that presents with an uninhibited electrical conduction between the atria and ventricles via an accessory pathway that has the potential for life-threatening arrhythmias. This is a case report of an asymptomatic/undiagnosed 43-year-old female with an incidental finding of WPW pattern during hardware removal surgery of the right hip while under general anesthesia. The identification of asymptomatic patients can be difficult because there may be only subtle changes on the electrocardiogram but could still pose as life-threatening in the presence of supraventricular tachycardia. Because of the potential risks, recommendations were given to follow up with the cardiology department to establish an accurate diagnosis. After recognition, the perioperative anesthetic goal was to prepare for any potential arrhythmia, minimize triggers, and provide proper follow-up so that appropriate testing could be conducted to properly diagnose and manage WPW.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        tracings
        Journal Article
      ougenre: Article
    language: English
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