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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.
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Details
1 Mohammed V University, Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Rabat, Morocco (GRID:grid.31143.34) (ISNI:0000 0001 2168 4024)
2 Mohammed V University, Cardiology B department, Ibn Sina University Hospital of Rabat, Rabat, Morocco (GRID:grid.31143.34) (ISNI:0000 0001 2168 4024)