Wolff-Parkinson-White Syndrome Mimics a Conduction Disease
Background. It is important to recognise Wolff-Parkinson-White (WPW) syndrome in electrocardiograms (ECG), as it may mimic ischaemic heart disease, ventricular hypertrophy, and bundle branch block. Recognising WPW syndrome allows for risk stratification, the identification of associated conditions,...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/789537 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832564660450099200 |
|---|---|
| author | S. Marrakchi I. Kammoun S. Kachboura |
| author_facet | S. Marrakchi I. Kammoun S. Kachboura |
| author_sort | S. Marrakchi |
| collection | DOAJ |
| description | Background. It is important to recognise Wolff-Parkinson-White (WPW) syndrome in electrocardiograms (ECG), as it may mimic ischaemic heart disease, ventricular hypertrophy, and bundle branch block. Recognising WPW syndrome allows for risk stratification, the identification of associated conditions, and the institution of appropriate management. Objective. The present case showed that electrophysiological study is indicated in patients with abnormal ECG and syncope. Case Report. A 40-year-old man with Wolff-Parkinson-White syndrome was presented to emergency with syncope. A baseline ECG was a complete right branch block and posterior left hemiblock. He was admitted to the cardiac care unit for pacemaker implantation. The atypical figure of complete right branch block and posterior left hemiblock was thought to be a “false positive” of conduction abnormality. But the long anterograde refractory period of the both accessory pathway and atrioventricular conduction may cause difficulty in diagnosing Wolff-Parkinson-White syndrome, Conclusion. A Wolff-Parkinson-White Syndrome may mimic a conduction disease. No reliable algorithm exists for making an ECG diagnosis of a preexcitation syndrome with conduction disorders. This can lead to diagnostic and therapeutic dilemmas in the context of syncope. |
| format | Article |
| id | doaj-art-0e63117cad7042e7a664d72e9e813dff |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-0e63117cad7042e7a664d72e9e813dff2025-02-03T01:10:24ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/789537789537Wolff-Parkinson-White Syndrome Mimics a Conduction DiseaseS. Marrakchi0I. Kammoun1S. Kachboura2Department of Cardiology, Abderrahmen Mami Hospital, Medical School of Tunis, Faculty of Medicine of Tunis Ariana, TunisiaDepartment of Cardiology, Abderrahmen Mami Hospital, Medical School of Tunis, Faculty of Medicine of Tunis Ariana, TunisiaDepartment of Cardiology, Abderrahmen Mami Hospital, Medical School of Tunis, Faculty of Medicine of Tunis Ariana, TunisiaBackground. It is important to recognise Wolff-Parkinson-White (WPW) syndrome in electrocardiograms (ECG), as it may mimic ischaemic heart disease, ventricular hypertrophy, and bundle branch block. Recognising WPW syndrome allows for risk stratification, the identification of associated conditions, and the institution of appropriate management. Objective. The present case showed that electrophysiological study is indicated in patients with abnormal ECG and syncope. Case Report. A 40-year-old man with Wolff-Parkinson-White syndrome was presented to emergency with syncope. A baseline ECG was a complete right branch block and posterior left hemiblock. He was admitted to the cardiac care unit for pacemaker implantation. The atypical figure of complete right branch block and posterior left hemiblock was thought to be a “false positive” of conduction abnormality. But the long anterograde refractory period of the both accessory pathway and atrioventricular conduction may cause difficulty in diagnosing Wolff-Parkinson-White syndrome, Conclusion. A Wolff-Parkinson-White Syndrome may mimic a conduction disease. No reliable algorithm exists for making an ECG diagnosis of a preexcitation syndrome with conduction disorders. This can lead to diagnostic and therapeutic dilemmas in the context of syncope.http://dx.doi.org/10.1155/2014/789537 |
| spellingShingle | S. Marrakchi I. Kammoun S. Kachboura Wolff-Parkinson-White Syndrome Mimics a Conduction Disease Case Reports in Medicine |
| title | Wolff-Parkinson-White Syndrome Mimics a Conduction Disease |
| title_full | Wolff-Parkinson-White Syndrome Mimics a Conduction Disease |
| title_fullStr | Wolff-Parkinson-White Syndrome Mimics a Conduction Disease |
| title_full_unstemmed | Wolff-Parkinson-White Syndrome Mimics a Conduction Disease |
| title_short | Wolff-Parkinson-White Syndrome Mimics a Conduction Disease |
| title_sort | wolff parkinson white syndrome mimics a conduction disease |
| url | http://dx.doi.org/10.1155/2014/789537 |
| work_keys_str_mv | AT smarrakchi wolffparkinsonwhitesyndromemimicsaconductiondisease AT ikammoun wolffparkinsonwhitesyndromemimicsaconductiondisease AT skachboura wolffparkinsonwhitesyndromemimicsaconductiondisease |