WPW

WPW
Wolff-Parkinson White
Can have very rapid reentry rates
Avoid AV nodal blocking agents
No beta blockers 
No Calcium Channel blockers
No Adenosine
No Digoxin
Short PR interval
Delta upslope to QRS
WPW with Rapid Rate

Unstable
Cardiovert
Synchronized or Unsynchronized

Stable
Amiodarone
150 mg IV over 10 minutes

Procainamide 
20 mg/min
up to 17 mg/kg or
QRS widened by 50% or 
hypotension
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