Wolff–Parkinson–White syndrome presenting as atrial fibrillation in a female patient with situs inversust

Autor: Ben Ghezala Hassen, Abbes Fehmi, Bechikh Imen, Snouda Salah
Rok vydání: 2015
Předmět:
Zdroj: Case Reports International. 4:14-17
ISSN: 2456-9100
Popis: Introduction: Wolff-Parkinson-White (WPW) syndrome is a conduction disturbance characterized by the presence of an accessory pathway between the atria and the ventricles. Among patients with WPW syndrome, atrioventricular reentrant tachycardia (AVRT) is the most common arrhythmia. Atrial fibrillation associated with WPW is less common but potentially life-threatening arrhythmia as it can degenerate to ventricular fibrillation (VF). Case Report: We report a case of wide-QRS tachycardia with which was subsequently diagnosed as WPW syndrome with atrial fibrillation (AF) in a patient with dextrocardia situs inversus. Treated initially by electrical conversion and then in a second plane by catheter ablation. Conclusion: WPW syndrome is not infrequently encountered in the patient presenting to the emergency department with tachyarrhythmias. Once symptomatic, patients can be treated with or can try medications to control their symptoms. A particular attention must be paid to patients with dextrocardia situs inversus, especially in ECG record and electrical cardioversion.
Databáze: OpenAIRE