A 19-year-old athlete collapses during training. ECG shows delta waves and short PR interval after spontaneous conversion from a wide irregular

Question

A 19-year-old athlete collapses during training. ECG shows delta waves and short PR interval after spontaneous conversion from a wide irregular tachycardia. He is now stable; electrolytes and troponin are normal. What is the most appropriate next step?

Accepted Answer

Consult cardiology urgently and avoid AV nodal blockers if atrial fibrillation with pre-excitation recurs

Answer

Prescribe verapamil for any future wide irregular tachycardia

Answer

Discharge with reassurance after normal troponin

Answer

Start digoxin for pre-excited atrial fibrillation

Answer

Arrange routine family physician follow-up in one year

Wolff-Parkinson-White syndrome — RCPSC EM MCQ

A 19-year-old athlete collapses during training. ECG shows delta waves and short PR interval after spontaneous conversion from a wide irregular tachycardia. He is now stable; electrolytes and troponin are normal. What is the most appropriate next step?