Tuesday, October 1, 2019
When the Wolff Runs Away with Your Heart
My father is one in 20,000. One whose heart has the habit of getting away from him, of contracting offbeat. Wolff Parkinson White Syndrome cases are found in less than 20,000 US citizens per year and is only discovered through thorough heart exams or a presence of symptoms. My father's case was a more extreme one, born with an extra electrical pathway in his heart, when he grew anxious his heart beat had an extra dub in it. I remember him often having to lay on the ground and wait for his heart to slow and fix its own rhythm. Most children born with this condition never realize they have it simply due to the fact the extra electrode never fires. In the case of my father, he decided to have surgery done to remove the extra pathway. Inserting a small camera into a vein within his thigh, the surgeon traveled up to his heart, location the pacemaker cells of that specific electrical pathway and cauterized it. For the most part, his palpitations stopped, the electrode only trying to fire when he undergoes extreme anxiety but no longer causing an irregular heart beat. This syndrome is rarely fatal but I do have to say, the surgery helped my dad do the things he wanted to do like play baseball with us kids or ride his bicycle over twenty-five miles a day.
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Thanks for the information on this interesting condition! My uncle was diagnosed with this last week, which made your post catch my eye. I have two questions about the subject. Is the problem an extra signal from the SA node or a completely different node to begin with? I'm also wondering what you know about cauterizing the pathway. I saw on Medline Plus that another option is to freeze the pathway. When you cauterize or freeze the pathway, are you blocking the node that sends it? Or are you blocking the recipient of the signal?
ReplyDeleteWolff-Parkinson-White syndrome (WPW): MedlinePlus Medical Encyclopedia. (n.d.). Retrieved October 7, 2019, from https://medlineplus.gov/ency/article/000151.htm.
Morgan,
ReplyDeleteThe condition that your father has and your post has left me with several thought-provoking questions, so I decided to do some research regarding Wolff-Parkinson-White syndrome. I read that the syndrome is commonly associated with Ebstein anomaly, a heart defect where the tricuspid value is affected and alters the rate of blood flow into the right ventricle, which led to the question: with a faulty tricuspid value, does it result in an enlarged right-chambered heart (NIH U.S. National Library of Medicine, 2019)? Does it also mean that there is more deoxygenated blood in a person with the syndrome than of a person without the syndrome since the defect of the tricuspid value potentially leads to tricuspid value regurgitation? Is Wolff-Parkinson-White syndrome a genetic condition since it is a component to Ebstein anomaly and several other genetic syndromes?
Thank you for your intriguing post!
NIH U.S. National Library of Medicine. (2019, October 1). Wolff-Parkinson-White syndrome - Genetics Home Reference - NIH. Retrieved from https://ghr.nlm.nih.gov/condition/wolff-parkinson-white-syndrome#inheritance.