Wolff-Parkinson-White (WPW) Syndrome

Module 5: Basic Dysrhythmias — ECG Academy Lesson

Identify the three ECG hallmarks of WPW (short PR, delta wave, wide QRS) on a baseline strip and communicate the high-risk pattern of any tachycardia in a WPW patient for immediate escalation.

Estimated time: 20 min

What You Will Learn

• Identify the three ECG hallmarks of WPW: short PR interval, delta wave, and widened QRS
• Explain why the accessory pathway (Bundle of Kent) creates the WPW baseline pattern
• Distinguish WPW baseline from other wide-QRS patterns (BBB, ventricular origin)
• Explain why AFib with WPW is a medical emergency requiring immediate escalation
• State the monitor tech actions when a WPW patient develops any tachycardia

About This Module

Sinus rhythms and atrial arrhythmias — the rhythms you will see most often on the monitor. From normal sinus rhythm through atrial fibrillation, build the pattern recognition that forms your clinical foundation.

Module objectives:

• Define the five criteria for Normal Sinus Rhythm
• Identify sinus bradycardia, tachycardia, arrhythmia, and pause
• Recognize PAC patterns and assess clinical significance
• Distinguish WAP from multifocal atrial tachycardia