Key result
In a 34-year-old woman with cocaine use, negative delta waves of Wolff-Parkinson-White syndrome simulated an inferior myocardial infarction on EKG, which resolved following successful catheter ablation.
Population
1 patient presenting for urgent dilation and evacuation with EKG simulating inferior myocardial infarction.
Design
Case_report
Authors
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May prompt EKG vigilance for WPW mimics in perioperative cocaine users; single case leaves open broader validation.
Case Report (n=1)
EKG changes caused by Wolff-Parkinson-White syndrome, such as negative delta waves, can simulate an inferior myocardial infarction, which is an important consideration in perioperative anesthetic management.
Lustik et al. (1999) conducted a case report in Wolff-Parkinson-White syndrome simulating inferior myocardial infarction (n=1). Catheter ablation was evaluated. In a 34-year-old woman with cocaine use, negative delta waves of Wolff-Parkinson-White syndrome simulated an inferior myocardial infarction on EKG, which resolved following successful catheter ablation.
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