WOBBLER syncope

Wolff-Parkinson-White syndrome: short PR, delta waves
Obstructed AV pathway: 2nd/3rd degree block
Bifascicular block: axis deviation with RBBB
Brugada syndrome: coved ST elevation
LVH: LVOT obstruction - either from HOCM or Aortic stenosis
Epsilon wave: similar to J wave in hypothermia
Repolarisation abnormality: long or short QT

#ECG #syncope #core-presentation #clinical

  • arrhythmogenic RV cardiomyopathy
    • Epsilon wave
    • TWI V1-3; prolonged S-wave upstroke V1-3
    • QRS widening V1-3

https://resus.me/wobbler/
https://canadiem.org/tiny-tip-wobbler-as-an-approach-to-ecgs-for-syncope/