Clinical Practice Guidelines

Wolff-Parkinson-White Syndrome

  • The ECG changes associated with WPW syndrome include

    • Shortened PR interval (less than 0.12 sec). 

    • A delta "slur" wave 

    • A broad QRS interval (greater than 0.10 sec).

    dleta wave

    Long QT interval

    To measure the corrected QT interval  (QTc)

    QT interval

    QTc= QT measured / square root of the RR interval

    The "normal" QTc is less than 0.44 but that the distribution of QTc in the normal population overlaps with the distribution of the QTc in those with LQT.

    Other factors like T-wave morhology need to be considered and in about 10% of cases the diagnosis can be difficult to make.

    If suspicious further testing such exercise testing or Holter monitoring  is often helpful.

     If there is any reason to suspect long QT syndrome, then discuss with Cardiologist on call.