The combination of WPW syndrome
and Rheumatic mitral stenosis is rarely reported in Literature.
Three cases of hypertrophic cardiomyopathy, 1 case of sub-aortic stenosis and congenital WPW syndrome
have also been recorded.
is easily identifiable through an electrocardiogram scan.
In WPW syndrome
, ventricular depolarization occurs first by an accessory AV tract called the bundle of Kent, followed shortly thereafter by the His-Purkinje system.
Exclusion criteria were the following: WPW syndrome
, hyperkalemia, ventricular and nodal heart rhythm, artificial pacemaker, valvular defect, myocardial revascularization surgery (performed during current hospitalization).
WOLFF-Parkinson-White syndrome, or WPW syndrome
, is the presence of an extra, abnormal electrical pathway in the heart that leads to periods of very fast heartbeat.
The diagnosis of myocardial infarction in the WPW Syndrome
These include Holter monitoring (quantification of extrasystoles and identification of tachy-and bradyarrythmias), cardiac magnetic resonance imaging (MRI) scan (ARVC, HCM, and myocarditis), tissue Doppler (ARVC), sodium channel blocker challenge (Brugada syndrome), and adenosine challenge for pre-excitation (familial risk of WPW syndrome
and supraventricular tachycardia).
In 20 % of the patients there is lengthening of the PR interval and between 4 to 26 % there is a WPW syndrome
He was seen by out-of-hours agency doctor Jurgen Kunstmann who carried out an electrocardiograph (ECG) which had first identified the WPW syndrome
Discussion: WPW syndrome
is an example of a pre-excitation condition.
Various forms of WPW syndrome
are described (exact WPW syndrome
, latent ventricular preexcitation, permanent junctional reciprocating tachycardia) in a presence of aberrant atrioventricular pathways in heart.