Key result
A male patient with WPW syndrome and suspected NSTEMI successfully underwent percutaneous coronary intervention followed by radiofrequency catheter ablation one month later.
Why the study?
Pre-excitation syndrome can mimic or mask myocardial infarction, making the diagnosis of acute myocardial infarction difficult.
Case Report (n=1)
Pre-excitation syndrome can mask or mimic myocardial infarction, requiring careful evaluation of ECG changes and cardiac enzymes for early diagnosis of myocardial injury.
WPW may mask acute MI on ECG; this case leaves open need for systematic diagnostic studies.
Pre-excitation syndrome can either mimic or mask myocardial infarction, making the diagnosis of acute myocardial infarction difficult. Herein, we report the case of a male patient with Wolf-Parkinson-White (WPW) syndrome who presented to our emergency department with severe chest pain. Non-ST-elevation myocardial infarction was suspected because of cardiac enzyme elevation and abnormal ST-T changes identified through electrocardiography. The patient underwent percutaneous coronary intervention; a left anterior descending artery stenotic lesion was dilated, and drug-eluting stents were implanted. One month later, he underwent successful radiofrequency catheter ablation for his accessory pathway and tachycardia. We present the series of electrocardiographic ST-T abnormalities to raise awareness of the value of diagnosing myocardial injury early in patients with WPW syndrome.
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Chin et al. (2022) conducted a case report in Wolf-Parkinson-White (WPW) syndrome and acute myocardial infarction (n=1). Percutaneous coronary intervention and radiofrequency catheter ablation was evaluated. A male patient with WPW syndrome and suspected NSTEMI successfully underwent percutaneous coronary intervention followed by radiofrequency catheter ablation one month later.
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