Morscher J H
AACN Clin Issues Crit Care Nurs. 1992 Feb;3(1):180-9. doi: 10.4037/15597768-1992-1023.
Wolff-Parkinson-White (WPW) syndrome is a cardiac conduction disorder that presents with potentially life-threatening consequences. Wolff-Parkinson-White syndrome-induced dysrhythmias account for 20% of all supraventricular tachycardias that occur in the general population. Clinical presentations range from no symptoms to a sudden cardiac arrest. The risk of sudden death is always present with WPW syndrome, and it is the motivating force in the evaluation and treatment of this syndrome. Current diagnostic modalities are accurate in identifying patients with WPW syndrome, but lack the sensitivity to predict sudden cardiac death. This article reviews the history of WPW syndrome, as well as its general characteristics, diagnostic criteria, treatment modalities, and nursing implications.
预激综合征(WPW)是一种心脏传导障碍,可导致潜在的危及生命的后果。预激综合征诱发的心律失常占普通人群中发生的所有室上性心动过速的20%。临床表现从无症状到心脏骤停不等。预激综合征始终存在猝死风险,这也是对该综合征进行评估和治疗的驱动力。目前的诊断方法在识别预激综合征患者方面很准确,但缺乏预测心脏性猝死的敏感性。本文回顾了预激综合征的历史,及其一般特征、诊断标准、治疗方法和护理要点。