<<forEachTiddler  where 'tiddler.tags.contains(context.inTiddler.title)'
sortBy 
        tiddler.title
    ascending 
write '"*[["+tiddler.title+"]]\n"'>>
<<tiddler AutoRefresh with: force>>

Congenital accessory conduction path between atria and ventricles so Atrioventricular re-entry tachycardia
AF can degenerate to VF (as accessory path doesn't slow conduction) this is inc by sotalol which slows AV conduction so avoid if AF present

''ECG change (possible)''
short PR
wide QRS with slurred upstroke (delta wave)
non-specific ST and T changes (don't confuse with ischaemia)
if R pathway - L axis deviation (type B) - no dominant R wave in V1 - more common
if L pathway - R axis deviation (type A) - dominant R wave in V1

''Associations''
HOCM
Mitral valve prolapse
Ebsteins anomaly
Thyrotoxicosis
secundum ASD

''Mx''
radiofrequency ablation of accessory path (definitive)
medical - sotalol, amiodarone, flecainide