
Published 2025-04-28
Keywords
- Wolff-Parkinson-White Syndrome,
- Case Reports,
- Arrhythmias Cardiac
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Abstract
Wolff-Parkinson-White (WPW) syndrome is a pre-excitatory disorder characterized by an accessory pathway between the atria and ventricles, which can lead to severe arrhythmias, including sudden cardiac death. It is often asymptomatic and incidentally detected through an electrocardiogram (ECG). This case involves a 39-year-old male with a history of arrhythmias, initially treated with bisoprolol. After experiencing recurrent episodes of palpitations and dyspnea, WPW was confirmed via ECG and Holter monitoring, revealing a right lateral accessory pathway. Management included expectant care with outpatient follow-up for potential catheter ablation. Catheter ablation is the first-line treatment for symptomatic or high-risk patients, with a favorable prognosis when performed promptly.
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