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ECG of interest


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I was always taught to avoid beta blockers or calcium channel blockers in WPW due to likely hood of increasing resistance in the main pathway that is normally calcium mediated, and thus the electrical pathway looks for the path of least resistance in the form of the accessory.  From what the cardiologist/cardio PA beat into me during school, they said these accessories are mostly sodium channel mediated which makes procainamide the treatment of choice prior to abliation.  According to him and her Amidarone was no longer recommended but they never elaborated why.  Just my 0.001 cents worth, but I am open to a better explanation from someone.

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