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Is a person with Wolff-Parkinson-White Syndrome fit to work abroad? Occupation trabaho clearance

Rizaldy Sibayan
Rizaldy is a document controller in the Philippines

Maliban sa WPW or Wolff Parkinson White syndrome na meron ako eh wala na akong ibanga sakit.

My bp is normal at 110/80 and 120/80. Fit to work po ba ako para makapag trabaho sa abroad? Since wala naman ako nararamdaman na kahit ano sa katawan ko. Thanks po


Translation: Aside from WPW or Wolff Parkinson White syndrome that I have, I do not have any other disease or medical condition. My blood pressure is also normal at 110/80 and 120/80. Am I fit to work abroad, since I do not have any other sickness?

02, Feb 2016, 15:36 PM (PH time)
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Dr. Firas Mohamed Osman
Dr Osman is a Medical expert in Ireland
Dear Rizaldy,

Your question is a perfect example of why I became a doctor! WPWS is a very rare cardiac condition affecting 0.1-0.3% of the average population. I won't go into the intricacies of the syndrome unless you require me to.
However my first question would be are on any medication and second question is when or if you had any palpitations, dizziness, shortness of breath, or syncope (fainting or near fainting) episodes?
If the answer is no to to both of those let me know and I will continue advising you. If yes that still will not necessarily mean you cannot work abroad. But we need to take a few precautionary steps first.

Look forward to your reply,

Kindest regards,

Dr Osman
Rizaldy Sibayan
Rizaldy Sibayan is a document controller in the Philippines
thank you dr. usman, iyes doc i take medication my maintenance medicine and I never felt diziziness, shorness of breath and syncope until now, i never experience that 3 doc. Only palpitation i felt and i experience but very very rare because it happens once a year if i remember thats how it rare.iI took ecg last 3 days ago and my doctor said its ok no block artery and other problems , only the wpws is he found. I want to apply again for working abroad but my worry is that can I pass my medical if I had a wpws and they will see on my ecg result.. 2012 when I knew that i had wpws because I under go medcal examination and others like holters, thread mill ect. I pass my last threadmill.
Rizaldy Sibayan
Rizaldy Sibayan is a document controller in the Philippines
1st thank you so much dr.Usman for your respond to my post msg. my answer to your 1st question abou my medication, yes i taking my maintenance medicine right now., and regarding to your 2nd question , i never felt or experienced all of these until now dizziness, shortness of breath and syncope.Only palpitation and its happened only once a year and sonetimes nothing at all.I feel stronger right now, and i can do driving my vehicles. My last ecg happened 2 days ago and according to my doctor it is good , no artery block and other heart problem but he saw the wpws on my ecg.only wpws is there on my ecg .My artery is ok no block at all.but thats ecg is not my final medical for abraod im in the process of applying a job for abroad. my worry is that when my final medical happen and they saw the wpws on my ecg whould they remark me medical as unfit because of my wpws. pls help dortor osman sir, because im to much worry about this. thank you very much sir. good evening.
Dr. Firas Mohamed Osman
Dr Osman is a Medical expert in Ireland
Good morning Rizaldy,

I am happy you are taking precautions and following the correct steps for your condition.
ECG doesn't necessarily show artery blocks that requires a different test all together. Radionuclide stress testing where they inject a radioactive isotope into your vein and any arterial block would be seen. That is usually associated with heart attacks and Coronary Artery Disease which you clearly don't have from the information you have given me.
However although an ECG shows WPWS what you need to focus on is that:
1. You do not have heart block
2. You have not had any episodes of palpitations or syncope.
This means you are stable on your medications and from the information you have given me fit to work anywhere. Including abroad.
What medications are you taking?
In summary your screening tests are very positive and worrying about passing any medical test will only stress you out and put pressure on your heart. Do not smoke, eat healthy foods and have regular exercise. I am practically certain you will pass the medical with flying colours!
WPWS is a very rare condition as I mentioned previously and it will only be an issue if you display certain particular symptoms and signs which you do not. And remember it is only for your safety.

I wish you the best of luck passing your medical exam (which you have passed already) and please do not hesitate to contact me with any further questions.

Best regards,

Dr Osman
Rizaldy Sibayan
Rizaldy Sibayan is a document controller in the Philippines
thank you dr. Osman yourr such a good and very kind doctor and as a person. i will update you regarding my condition. Doctor Osman sir in simple speaking eventhough a person who had wpws had a chance to work in abroad and still fit for working. I plan to work in office at saudi arabia.

tnx doc
Rizaldy Sibayan
Rizaldy Sibayan is a document controller in the Philippines
my medicine is amlodipine 5mg and I also take fish oil.my bf is already normal at 120/80 doc should i continue taking amlodipine since Isomebody told me that taking up amlodipine is only if your blood is 140/100 and above.Now my blood is pretty normal, could I continue taking up amlodipine although my bo is already normal.
Dr. Firas Mohamed Osman
Dr Osman is a Medical expert in Ireland
Dear Rizaldy,

Thank you for your kind words. I'm smiling as I write this.
To answer your question about taking Amlodipine. Yes continue. Your BP is normal because you are taking it. And believe me 5mg once a day is a very small dose and further reassures me that you are practically checking in to the plane to Saudi. Fish oils are also a hea;thy nutritional supplement so keep taking the with a well balanced diet.

Do not hesitate to contact me with any further queries.

Kindest regards,

Dr Osman
anonymous
Anonymous 1 This person has chosen to hide his/her identity.
I wish all doctors all over the world has a big heart and a very kind person like you. Im am proud and flattered for being your friend .I think I can live longer and luster because you're there.


Take care doctor Osman,
Rizaldy Sibayan
Rizaldy Sibayan is a document controller in the Philippines
I wish all the doctors all over the world has a big heart and a very kind person Thank you sir
and please feel free to response if I have another queries again.

pls take care always doctor usman sir.

About the author

Dr. Firas Mohamed Osman

I am a fully qualified Doctor in Ireland. I am registered with the Irish medical council. I have 6 years PQE with a range of skills applying my medical and surgical knowledge. I am also Bilingual with English and Arabic languages. As I am preparing for my Masters degree, I have some time to help others in tasks that would suit my experience. I look forward to working and helping you. Dr F Osman
Profession: Orthopaedics
HSE
Office Address: 69 Shanliss Rd, Santry, Dublin 9, Ireland
Ireland , Dublin , Dublin 9
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