Key result
An incidental Wolff-Parkinson-White pattern in a patient with acute coronary syndrome poses a diagnostic dilemma, but was successfully managed with medical therapy while awaiting coronary angiography.
Why the study?
It is important to recognize common electrocardiographic characteristics of Wolff-Parkinson-White pattern, which can predispose to arrhythmias and sudden cardiac death.
Case Report (n=1)
Highlights the importance of recognizing incidental WPW pattern in patients presenting with acute coronary syndrome.
Case report of WPW syndrome reinforces arrhythmia and SCD risks; leaves open questions on screening and intervention in asymptomatic patients.
Electrocardiographic features of a short PR interval, a delta wave, and a wide QRS complex constitutes a Wolff-Parkinson-White (WPW) pattern. Asymptomatic electrocardiographic findings are defined as a WPW pattern. Symptomatic patients with these electrocardiographic features have WPW syndrome. WPW syndrome may predispose to arrhythmias such as paroxysmal atrial tachycardia, atrial fibrillation and ventricular tachycardia. Patient’s with WPW syndrome at risk for sudden cardiac death. It is important to recognize the common electrocardiographic characteristics of WPW pattern. The advent of electrophysiological studies (EPS) and radiofrequency ablation has revolutionized the management of WPW syndrome. We are presenting an incidental case report of WPW pattern in a middle aged female with acute coronary syndrome.
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Mehrotra et al. (2023) conducted a case report in Acute Coronary Syndrome with incidental WPW pattern (n=1). Medical therapy and observation was evaluated. An incidental Wolff-Parkinson-White pattern in a patient with acute coronary syndrome poses a diagnostic dilemma, but was successfully managed with medical therapy while awaiting coronary angiography.
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