Why the study?
WPW syndrome is rare and potentially life-threatening, and a WPW pattern on EKG can mask ischemic changes and increase the risk of arrhythmia and mortality.
This case highlights that an acute myocardial infarction can trigger the conversion of an asymptomatic WPW pattern into symptomatic WPW syndrome, which is clinically significant as WPW can mask ischemic EKG changes.
Wolff-Parkinson-White (WPW) syndrome is defined by the presence of a short PR interval, delta waves on the electrocardiogram (EKG), and symptomatic tachycardia. The condition is rare but can be life-threatening if not recognized in a timely manner. The WPW pattern on EKG can mask ischemic changes and may also increase the risk of arrhythmia and subsequent mortality. Our case describes the conversion of an underlying WPW pattern into WPW syndrome in the scenario of an acute myocardial infarction (AMI).
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Iqbal et al. (2019) studied this question.
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