Aa
Aa
A
A
A
Close
Avatar universal

W-P-W?

This is the only pre-excitated beat on the holter.
I had 6 PVCs and 1 PAC too in the 24h

3 Responses
Sort by: Helpful Oldest Newest
1124887 tn?1313754891
I noticed the question on another community today. The "sore thumb" beat does not look like a PVC to me. It's preceded by a P wave with short PR interval. And it's not premature, it has the same coupling interval as the other beats. Also, you can see slow ventricular activation (delta wave) on the "weird" beat.

I remember a cardiologist on a forum once said that such beats may possible follow another pathway between the atria and ventricles (even if not all beats do so). I'm not sure this is the case here, but the original poster should ask his cardiologist in my opinion.

Helpful - 0
1423357 tn?1511085442
By the way, there are a number of pre-excitation syndromes.  WPW is perhaps the most popular, and I think many people often refer to Supraventricular Tachycardia as WPW, like Kleenex to tissues.  I had one called  Orthodromic Circus Movement Tachycardia, a close relative to WPW in the AVRT family.
Helpful - 0
1423357 tn?1511085442
Every QRS complex of my EKG displayed a slight delta wave indicative of WPW. So, a one-off event? I'm gonna say, No, this isn't WPW.
Helpful - 0
Have an Answer?

You are reading content posted in the Heart Rhythm Community

Top Arrhythmias Answerers
1807132 tn?1318743597
Chicago, IL
1423357 tn?1511085442
Central, MA
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Are there grounds to recommend coffee consumption? Recent studies perk interest.
Salt in food can hurt your heart.
Get answers to your top questions about this common — but scary — symptom
How to know when chest pain may be a sign of something else
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.