Silly Things Said on the Internet

This blog is sort of an experiment. An experiment to test my theory that most providers don't have an adequate understanding of Wolff-Parkinson-White Syndrome and its treatment… And it really began years ago when I would frequently ask nurses and medics, “If I asked you how to treat SVT, more specifically, a stable and narrow SVT (likely AVNRT or AVRT), how would you treat it?” I was always met with, “are they stable or unstable?” Then we would go down a rabbit hole of “what if this, or what if that…” and “I’d try vagal maneuvers, then…” BLAH, BLAH, BLAH! The entire reason I inquired about this was that I wanted to know how they would treat it pharmacologically. No one wanted to answer with medication, so I had to advance the question. “Gun to your head, you have to choose a medication… and if you say anything but a medication… BANG!”

I am often met with the answer, “Adenosine, duh!” But then I like to take it a step further. I ask, “OK, but what if the patient had a suspected or confirmed history of Wolff-Parkinson-White (WPW)?” Suddenly I am met with much less