Wolff-Parkinson-White as a bystander in a patient with aborted sudden cardiac death

Laaouaj, Jamal; Jacques, Frédéric; O’Hara, Gilles; Champagne, Jean; Sarrazin, J.; Nault, Isabelle; Philippon, François

doi:10.1016/j.hrcr.2016.05.004

Cited by 6 publications

(7 citation statements)

References 9 publications

(11 reference statements)

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“…Accordingly, high-risk patients may benefit from catheter ablation of the accessory pathway, while asymptomatic low-risk patients may require no treatment [14]. The overall risk of SCD in WPWS syndrome is low, estimated at 0.1% in asymptomatic patients and 0.3% in symptomatic patients per year [15].…”

Section: Discussionmentioning

confidence: 99%

A Different Kind of Parkinson: Case Report

E¹,

Deschamps²,

Safaeipour³

et al. 2022

jfammed

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Lightheadedness and dizziness are common chief complaints in a primary care clinic. These symptoms affect a person’s life in multiple ways and have a wide range of differential. We present a case of a teen female with these symptoms whom we diagnosed with having Wolff-Parkinson-White Syndrome, but we could not pinpoint whether this entirely caused her symptoms. Wolff- Parkinson-White Syndrome-associated dysrhythmias remain a significant differential amongst people presenting with lightheadedness.

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Section: Discussionmentioning

confidence: 99%

A Different Kind of Parkinson: Case Report

E¹,

Deschamps²,

Safaeipour³

et al. 2022

jfammed

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“…Shortened refractory period, and the accessory pathway, overrides the default AV nodal-His-Purkinje pathway. Therefore, electrical impulses are transmitted through the accessory pathway more readily, leading to the aforementioned arrhythmias [9]. Sudden death can occur even in completely asymptomatic patients; therefore, this risk should be carefully considered any time Wolff-Parkinson-White syndrome is diagnosed [10].…”

Section: Discussionmentioning

confidence: 99%

Wolff-Parkinson-White Syndrome: A Master of Disguise

Sapra

Albers

Bhandari

et al. 2020

Cureus

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Wolff-Parkinson-White syndrome is the most common form of ventricular preexcitation and affects 1-3 per 1,000 persons worldwide. Many patients remain asymptomatic throughout their lives; however, approximately half of the patients with Wolff-Parkinson-White syndrome experience symptoms secondary to tachyarrhythmias, such as paroxysmal supraventricular tachycardia, atrial fibrillation, atrial flutter, and, rarely, ventricular fibrillation and sudden death. Patients with Wolff-Parkinson-White syndrome may present with a multitude of symptoms such as unexplained anxiety, palpitations, fatigue, light-headedness or dizziness, loss of consciousness, and shortness of breath. We report the case of a patient who presented with a plethora of symptoms related to generalized anxiety along with several confounding factors such as psychosocial stressors, chronic fatigue secondary to high physical and mental demands at work, a strong family history of anxiety, and a history of substance abuse. Keeping cardiac dysrhythmia within his differential diagnosis allowed for accurate diagnosis and treatment.

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“…Wolff-Parkinson-White syndrome is, in most cases, an asymptomatic condition. However, sudden cardiac death can be the first presentation of Wolff-Parkinson-White syndrome and the overall risk of sudden cardiac death in Wolff-Parkinson-White syndrome is estimated at 0.1% in asymptomatic patients and 0.3% in symptomatic patients per year [3]. Wolff-Parkinson-White syndrome accounts for 1.6% of all sudden cardiac death among young athletes in the USA [4].…”

Section: Introductionmentioning

confidence: 99%