Open AccessConcealed Wolff–Parkinson–White Syndrome revealed by acute coronary syndrome
Author(s) -
Castro Ricardo Lessa,
Alcantara Lima Neiberg,
Costa Lino Danielli Oliveira,
Ban Susan Faragher
Publication year - 2020
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12735
Subject(s) - medicine , cardiology , wpw syndrome , acute coronary syndrome , asymptomatic , myocardial infarction , electrocardiography , accessory pathway , electrical conduction system of the heart , coronary artery disease , atrial fibrillation , tachycardia , catheter ablation
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.