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- Title
Pre-excited atrial fibrillation revealed at a very delayed age: case report.
- Authors
Diallo, Thierno Hamidou; Faraj, Raid; Hilal, Safae; Lahraoui, Myriam; Kisra, Oualid; Benmessaoud, Fatima-Azzahra; Doghmi, Nawal; Fellat, Ibtissam; Cherti, Mohamed
- Abstract
Background: Wolff-Parkinson-White (WPW) syndrome is a condition characterized by the persistence of an accessory pathway responsible for ventricular pre-excitation that can lead to symptomatic and potentially severe arrhythmias. Coexistence with atrial fibrillation is well known and not uncommon, exposing to potential degenerescence into ventricular fibrillation when atrial impulses are transmitted along the accessory pathway. WPW syndrome is most prevalent in younger patients and cases revealed after an advanced age have rarely been described in the literature. Case presentation: Here, we report a case of atrial pre-excitation first diagnosed at the age of 72 years that required external electrical cardioversion with a favorable outcome. The diagnosis was based on clinical and electrographic findings. Conclusions: WPW syndrome is a relatively rare cardiac disorder that can be a cause of sudden death, especially when combined with atrial fibrillation. Therefore, cardiologists have to consider this diagnosis in patients presenting clinical signs of arrhythmia with an electrical pattern of WPW.
- Subjects
CARDIOVASCULAR disease treatment; ATRIAL fibrillation diagnosis; WOLFF-Parkinson-White syndrome treatment; WOLFF-Parkinson-White syndrome; TREATMENT effectiveness; ELECTROCARDIOGRAPHY; ELECTRIC countershock; ARRHYTHMIA; HEART conduction system; OLD age
- Publication
International Journal of Emergency Medicine, 2023, Vol 16, Issue 1, p1
- ISSN
1865-1372
- Publication type
Article
- DOI
10.1186/s12245-023-00506-z