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.