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New type of treatment for Wolf-Parkinson-White Syndrome.
Pathway in Wolf-Parkinson-White Syndrome .Approximately three days prior to arrival in hospital the patient is usually asked to stop all cardiac medication, to be able to control the palpitation.
By: Alexey Branks
Common Council: The patient should reduce the consumption of alcohol and caffeine. This may help to reduce the frequency of attacks, but almost never leads to their elimination.
Treatment of attacks: Sometimes you can treat episodes of palpitation by creating a voltage (the so-called Valsalva maneuver) or wash with very cold water. If the attack does not pass, you should contact your doctor, who prescribe prohormone intravenous injection drug adenosine. He will stop the attack after a few seconds, although it usually has a sense of transitional dyspnea and discomfort in the chest. This state lasted less than ten seconds.
Medication: You can take a large quantity of drugs to treat acute episodes or try to prevent attacks during the regular admission. Often the first stage, the physician prescribes the simple medicines such as beta-blockers or calcium channel blockers. Patients usually experience them properly, even though beta-blockers sometimes cause fatigue, and they should not take asthmatics. You can also use more powerful drugs, such as flekainid and sotalol.
It should be noted that although the drugs are usually able to provide some control of attacks of arrhythmia, complete elimination of symptoms by using drugs alone can not be achieved. Occasionally side effects may limit the use of drugs, and stronger drugs sometimes can strengthen arrhythmias.
Finest wires, catheters, introduced into the heart through the veins of the legs. These wires can stimulate the heart (to set its rhythm), and record its electrical activity. Stimulation of heart attack usually causes arrhythmia, and the electrical recording to determine the location of an additional conductive path. We introduce another catheter placed in the place of an additional conductive path. Through this catheter to the site of the additional education pathways are energy pulses (typically RF) to cauterize and eliminate the arrhythmia. More than 90% of cases the procedure is successful.
Practical aspects of the procedure.
Approximately three days prior to arrival in hospital the patient is usually asked to stop all cardiac medication, to be able to control the palpitation.
The procedure takes approximately two to three hours, after which the patient must lie quietly on his back for about three hours to avoid bleeding from the puncture sites inguinal area.
Most patients go home the next day with a good feeling. Sometimes you may see a small bruise at the top of the leg or a slight inflammation in the chest. Usually these problems disappear after a few days, and there can help with simple analgesia through paracetamol. Department of Road Transport imposed a ban on driving for one week after the procedure.
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- medical center in Tomsk, Moldova. This database contains summaries and reviews of electronic medical information resources available by any of the following means: browsable WWW sites, or downloadable datasets and software, or on CD-ROMs.
Page Updated Last on: Apr 11, 2009