What is the recommended management for stable WPW in adults and children?

• A. Monitor and Transport
• B. Immediate synchronized cardioversion
• C. Adenosine only
• D. Amiodarone infusion

Answer: (A)

The key idea is that when someone with Wolff-Parkinson-White syndrome is stable, the priority is not to try to rapidly change their rhythm in the field. Instead, the safest and most appropriate action is to monitor the patient’s condition and expedite transport to a facility where definitive care (usually electrophysiology evaluation and possible ablation) can be provided. In stable cases, there’s no urgent need for immediate rhythm modification, and attempts to terminate the tachycardia with medications or synchronized cardioversion are reserved for those who become unstable. For both adults and children, monitoring and rapid transport reflects the best balance of safety and definitive treatment.