What medication is contraindicated in WPW?
The heart drug, digoxin, is contraindicated in adults with WPW syndrome.
What can you not do with WPW?
DO avoid tobacco, smoking, caffeine, alcohol, pseudo-ephedrine (a nasal decongestant) and similar antihistamines, amphetamines, and cocaine. DO tell your health care provider about unusually fast heartbeats or near fainting. DO keep your doctor’s appointments.
Is beta blocker contraindicated in WPW?
It is important to note that beta-blockers and calcium channel blockers are generally not recommended for the management of patients with evidence of preexcitation.
Is adenosine contraindicated in WPW?
In the presence of WPW, traditional treatments may be contraindicated. Any AV nodal slowing agent, including adenosine, diltiazem and amiodarone, may cause an adverse reaction in the presence of WPW. Of those three medications, AHA recommends amiodarone.
Why is amiodarone contraindicated in WPW?
The use of amiodarone for pre-excited atrial fibrillation (AF) with Wolff-Parkinson-White (WPW) syndrome has been reported to lead to spontaneous ventricular fibrillation.
Why is Cardizem contraindicated in WPW?
Diltiazem should be avoided in the presence of pre-excited AF with RVR, that is, AF in the presence of accessory pathway, i.e. Wolff Parkinson White (WPW) syndrome, as AVN blockage can lead to increased conduction through the accessory pathway, leading to life-threatening rapid ventricular rates.
Why is verapamil contraindicated in WPW?
The use of digoxin or verapamil for long-term therapy appears to be contraindicated for many patients with WPW syndrome, because these medications may enhance antegrade conduction through the AP by increasing the refractory period in the AV node.
Can WPW be treated with medication?
The drug of choice for the treatment of regular supraventricular (reciprocating) tachycardia with narrow QRS complexes, which is the most common arrhythmia in the WPW syndrome, is propranolol. Digitalis is almost equally effective in this case.
Why are calcium channel blockers contraindicated in WPW?
Treatment of Atrial Fibrillation and WPW Syndrome The usual rate-slowing drugs used in atrial fibrillation are not effective, and digoxin and the nondihydropyridine calcium channel blockers (eg, verapamil, diltiazem) are contraindicated because they may increase the ventricular rate and cause ventricular fibrillation.
What is the drug of choice for WPW?
The drug of choice for the treatment of regular supraventricular (reciprocating) tachycardia with narrow QRS complexes, which is the most common arrhythmia in the WPW syndrome, is propranolol.
Is procainamide safe in WPW?
Currently, intravenous procainamide is the only drug approved for emergent treatment of patients with WPW and AF.
Why is flecainide used in WPW syndrome?
Administered during preexcited atrial fibrillation, flecainide consistently slows the ventricular response and converts the majority of cases to sinus rhythm. Serious ventricular proarrhythmia is seen almost exclusively in patients with structural cardiac disease.
Why is adenosine contraindicated in WPW?
Why is adenosine contraindicated in WPW? Adenosine slows or blocks antegrade (atrial to ventricular) conduction through the AV node but doesn’t affect accessory or bypass tracts like those seen in WPW syndrome. Because of this, adenosine can be dangerous when given to patients with atrial fibrillation, especially if they have a bypass track.
Can adenosine be used in WPW?
In the presence of WPW, traditional treatments may be contraindicated. Any AV nodal slowing agent, including adenosine, diltiazem and amiodarone, may cause an adverse reaction in the presence of WPW. Of those three medications, AHA recommends amiodarone. It is important to keep WPW in mind when treating a tachycardia.
Which medication is contraindicated with Coumadin?
diabetes;
Are diuretics contraindicated in a woman with lymphedema?
Whatever the causative factor for lymphedema might be, lymphedema essentially has no cure. However, it is a treatable disease and the symptoms like swelling and pain etc. can be managed through drugs and compression therapy etc. However, diuretics are absolutely of no use when it comes to the management of lymphedema alone.