Intermittent Wolff-Parkinson-White
Mickyas Aberham, Jeffrey John Thompson
The Pan African Medical Journal. 2018;30:290. doi:10.11604/pamj.2018.30.290.15317

Innovations in Measles Elimination Innovations in Measles Elimination
"Better health through knowledge sharing and information dissemination "

Images in medicine

Intermittent Wolff-Parkinson-White

Cite this: The Pan African Medical Journal. 2018;30:290. doi:10.11604/pamj.2018.30.290.15317

Received: 28/02/2018 - Accepted: 01/05/2018 - Published: 24/08/2018

Key words: Wolff-parkinson-white, ECG, arrhythmia

© Mickyas Aberham et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/30/290/full

Corresponding author: Jeffrey John Thompson, State University of New York at Buffalo, Department of Emergency Medicine, New York, USA (jjt3@buffalo.edu)


Intermittent Wolff-Parkinson-White

Mickyas Aberham1, Jeffrey John Thompson1,2,&

 

1MCM General Hospital, Addis Ababa, Ethiopia, 2State University of New York at Buffalo, Department of Emergency Medicine, New York, USA

 

 

&Corresponding author
Jeffrey John Thompson, State University of New York at Buffalo, Department of Emergency Medicine, New York, USA

 

 

Image in medicine    Down

A 16-year-old female presented to the emergency department with complaints of palpitations of two hours duration. She had similar episodes in the past brought on by stress, anger, chocolate, or coffee. The ECG obtained in the course of her medical work-up led to the diagnosis of Wolff-Parkinson-White (WPW) syndrome. The characteristic short PR segment and delta wave are best seen in the lead I rhythm strip. In this rare example, the electrocardiographic morphology alternates between multiple beats of WPW and beats of normal sinus rhythm (A). It is important to recognize the characteristic features of pre-excitation syndromes such as WPW as patients may require treatment with antiarrhythmic drugs and/or radiofrequency ablation. Furthermore, emergency management of tachyarrhythmias in patients with a known history of WPW may differ from those without. However, as demonstrated in this example, such findings may be intermittent thus making an accurate and timely diagnosis challenging. Once it is apparent, proper documentation with copies of the ECG or rhythm strip in the patient record is imperative. In this case, the patient was also provided with a copy of her ECG to show the cardiologist which proved to be important since a repeat ECG at the cardiology clinic later the same day was unremarkable (B).

 

 

Figure 1: intermittent WPW and normal ECG

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 32 (January - April 2019)

Article tools

PDF (236 Kb)
Contact the corresponding author
Download to Citation Manager
EndNote
Reference Manager
Zotero
BibTex
ProCite


This article authors

On Pubmed
On Google Scholar

Navigate this article

Keywords

Wolff-parkinson-white
ECG
Arrhythmia

Rate this article

Altmetric

PAMJ is a member of the Committee on Publication Ethics
PAMJ Authors services
Next abstract

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2019 - Pan African Medical Journal. All rights reserved