Wolff-Parkinson-White Syndrome in a Male Adult with Recurrent Palpitation: A Case Report


Authors : Taiwo Folasade; Durotoluwa M; Adedokun T; Ajanya O., Etubi I; Ginika O; Ijir, Sani M.S; Adedeji M; Mohammed S; Folorunsho A; Ojji D; Alfa J; Odili N

Volume/Issue : Volume 8 - 2023, Issue 2 - February

Google Scholar : https://bit.ly/3TmGbDi

Scribd : https://bit.ly/3Zt7Unj

DOI : https://doi.org/10.5281/zenodo.7781997

Wolff –Parkinson- White(WPW) is a form of pre excitation syndrome characterized by the existence of an accessory pathway that predisposes patients to tachyarrhythmias and sudden death. Though not a common presentation but physicians get to see such cases and majority of the cases never present with an underlying structural cardiac disease. Patients with WPW syndrome are at greater risk of hazardous ventricular arrhythmias. The accessory atrioventricular pathways (AP) in Wolff –ParkinsonWhite result in abnormal preexcitation around the atrioventricular annuli producing a dyssynchronous contraction of cardiac chambers. Early detection and the usefulness of transthoracic echocardiography in identifying regional and global contractile function cannot be overemphasized. We present the case of a 45 year old man with WPW syndrome who presented with recurrent palpitations and dizziness. Wolff–Parkinson–White syndrome Type B was suspected from lead V1 and 2Dspeckle tracking performed showed, a decrease in regional strain at the basal anteroseptal, inferior septal, inferior and mid anteroseptal left ventricular segments.

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