Key result
Two patients with Wolff-Parkinson-White syndrome presented with ECG changes mimicking acute myocardial infarction, highlighting the need for detailed ECG analysis to avoid diagnostic pitfalls.
Case Report (n=2)
Detailed ECG analysis is crucial to avoid diagnostic pitfalls and inappropriate administration of thrombolytic agents in patients with WPW syndrome mimicking acute MI.
We reported two patients who presented with non-specific chest symptoms with ECG changes mimicking acute myocardial infarction and ventricular hypertrophy. Both of them were finally confirmed to have Wolff-Parkinson-White (WPW) syndrome after spontaneous resolution of the ECG changes. As a matter of fact, other differential diagnosis should be considered with respect to the ST-segment changes. Diagnostic pitfalls can be avoided by detailed analysis of the ECG before commencement of thrombolytic agents.
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Sia et al. (2004) conducted a case report in Wolff-Parkinson-White (WPW) syndrome (n=2). Wolff-Parkinson-White (WPW) syndrome was evaluated on Diagnosis of Wolff-Parkinson-White (WPW) syndrome after spontaneous resolution of ECG changes. Two patients with Wolff-Parkinson-White syndrome presented with ECG changes mimicking acute myocardial infarction, highlighting the need for detailed ECG analysis to avoid diagnostic pitfalls.
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