Incidental WPW Pattern in a Patient of Acute Coronary Syndrome: Case Report and Review of Literature

Abstract

Electrocardiographic features of a short PR interval, a delta wave, and a wide QRS complex constitutes a Wolff-Parkinson-White (WPW) pattern. Asymptomatic electrocardiographic findings are defined as a WPW pattern. Symptomatic patients with these electrocardiographic features have WPW syndrome. WPW syndrome may predispose to arrhythmias such as paroxysmal atrial tachycardia, atrial fibrillation and ventricular tachycardia. Patient’s with WPW syndrome at risk for sudden cardiac death. It is important to recognize the common electrocardiographic characteristics of WPW pattern. The advent of electrophysiological studies (EPS) and radiofrequency ablation has revolutionized the management of WPW syndrome. We are presenting an incidental case report of WPW pattern in a middle aged female with acute coronary syndrome. Keywords: Wolff-Parkinson-White Syndrome, Wolff-Parkinson-White Pattern, Pre-excitation, Accessory pathway, WPW pattern in ACS