[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 18.207.129.82. Please contact the publisher to request reinstatement.
Article
March 1985

Wolff-Parkinson-White Syndrome

Author Affiliations

From the Jewish Hospital at Washington University, St Louis.

Arch Intern Med. 1985;145(3):533-536. doi:10.1001/archinte.1985.00360030181031
Abstract

Mary Sears, MD, Resident in Medicine, Jewish Hospital at Washington University, St Louis: A 22-year-old man came to the emergency room of another hospital complain ing of light-headedness and palpitation of several hours' duration, the onset of which had occurred while he was swimming in a lake. On initial examination his systolic BP was 80 mm Hg and his apical rate was too rapid to count. A 12-lead ECG of poor technical quality showed a grossly irregular rhythm without distinguishable organized atrial activity. The ventricular rate averaged 285 beats per minute, and the width of the QRS complex varied from 80 to 120 ms. Deep Q waves were present in the inferior limb leads, and a tall, primordial R wave was noted in the anterior chest leads V2 and V3. The patient initially received 1 mg of digoxin in two divided doses intravenously (IV), followed by 6 mg

×