Question Details

The characteristics – slurring of the initial QRS deflection, shortened PR interval, and prolonged QRS duration are of this condition

Options

A

Atrial tachycardia

B

WPW (Wolff-Parkinson-White) syndrome

C

Left bundle branch block

D

Myocardial ischemia

Correct Answer :

WPW (Wolff-Parkinson-White) syndrome

Solution :

The correct answer is WPW (Wolff-Parkinson-White) syndrome.

WPW syndrome is a congenital cardiac pre-excitation syndrome. It is characterized by the presence of an abnormal accessory electrical conduction pathway between the atria and the ventricles, known as the Bundle of Kent.
This accessory pathway bypasses the normal delay at the atrioventricular (AV) node, leading to characteristic electrocardiogram (ECG) changes:

1. Shortened PR interval: Because the electrical impulse bypasses the AV node (which normally delays conduction to allow ventricles to fill) and travels down the fast accessory pathway, the PR interval is shortened, typically measuring less than 120 milliseconds (or 0.12 seconds).

2. Slurring of the initial QRS deflection (Delta wave): The early activation of the ventricular myocardium via the accessory pathway causes a slow, slurred upstroke at the beginning of the QRS complex, known as a delta wave.

3. Prolonged QRS duration: The combination of early ventricular pre-excitation (the delta wave) and normal depolarization through the bundle branches results in a widened or prolonged QRS complex, typically greater than 110 or 120 milliseconds.

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