Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Sep;25(5):e12735.
doi: 10.1111/anec.12735. Epub 2019 Dec 19.

Concealed Wolff-Parkinson-White Syndrome revealed by acute coronary syndrome

Ricardo Lessa de Castro Jr  1 , Neiberg de Alcantara Lima  1 , Danielli Oliveira da Costa Lino  2 , Susan Faragher Bannon  1
Affiliations
Case Reports

Concealed Wolff-Parkinson-White Syndrome revealed by acute coronary syndrome

Ricardo Lessa de Castro Jr et al. Ann Noninvasive Electrocardiol. 2020 Sep.

Abstract

Wolff-Parkinson-White (WPW) syndrome is a conduction disturbance in which atrial impulses are transmitted to the ventricles by an accessory pathway instead of the normal atrioventricular conduction. The WPW syndrome may either simulate myocardial infarction or mask the electrocardiographic abnormalities of an acute MI. However, concealed WPW revealed after an acute coronary syndrome is rare with few cases reported in the literature. This article reports a case of coronary artery disease with ST-segment elevation in a 57-year-old man, previously asymptomatic, with an initial electrocardiogram showing no conduction abnormalities that subsequently presented with an ECG compatible with WPW.

Keywords: Parkinson; White; Wolff; acute myocardial infarct; coronary artery disease.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflicts of interest with the content of this case report.

Figures

Figure 1
Figure 1
Inferior heart infarct with no PR abnormalities
Figure 2
Figure 2
WPW pattern after stent angioplasty
See this image and copyright information in PMC

References

    1. Astorri, E. , & Pattoneri, P. (2006). Wolff‐Parkinson‐White syndrome and myocardial infarction: A case report. International Journal of Cardiology, 108(3), 416–417. 10.1016/j.ijcard.2005.03.061 - DOI - PubMed
    1. Goel, B. G. , & Han, J. (1974). Manifestation of the Wolff–Parkinson–White syndrome after myocardial infarction. American Heart Journal, 87(5), 633–636. 10.1016/0002-8703(74)90503-1 - DOI - PubMed
    1. Kaya, M. G. , Ozdogru, I. , Yarlioglues, M. , Inanc, T. , Dogan, A. , & Eryol, N. K. (2008). Coronary ischemia induced Wolff–Parkinson–White syndrome. International Journal of Cardiology, 129(1), e3–4. - PubMed
    1. Pappone, C. , Vicedomini, G. , Manguso, F. , Baldi, M. , Pappone, A. , Petretta, A. , … Giannelli, L. (2012). Risk of malignant arrhythmias in initially symptomatic patients with Wolff‐Parkinson‐White Syndrome. Results of a prospective long‐term electrophysiological follow‐up study pappone. Circulation, 125, 661–668. 10.1161/CIRCULATIONAHA.111.065722 - DOI - PubMed
    1. Renguang, L. , & Qinghua, C. (2013). The diagnosis of myocardial infarction in the Wolff–Parkinson–White syndrome. International Journal of Cardiology, 167(3), 1083–1084. 10.1016/j.ijcard.2012.10.055 - DOI - PubMed

Publication types

MeSH terms