Atrial Fibrillation Masquerading as Wolff-Parkinson-White Syndrome
Published: December 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/56609.17191
Sourya Acharya, Sandeep Kamat, Samarth Shukla, Sunil Kumar
1. Professor and Head, Department of General Medicine, Datta Meghe Institute of Medical Science, Wardha, Maharashtra, India.
2. Assistant Professor, Deparmtnet of Cardiology, Topiwala National Medical College, BYL Nair Hospital, Mumbai, Maharashtra, India.
3. Professor, Department of Pathology, Datta Meghe Institute of Medical Science, Wardha, Maharashtra, India.
4. Professor, Department of General Medicine, Datta Meghe Institute of Medical Science, Wardha, Maharashtra, India.
Correspondence
Dr. Sourya Acharya,
Doctors Quarters, Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India.
E-mail: souryaacharya74@gmail.com
Atrial Fibrillation (AF) can complicate Wolff-Parkinson-White (WPW) syndrome. The characteristic feature of AF associated with pre-excitation is the irregular Wide Complex Tachycardia (WCT) with varying morphology of QRS complexes, with a rate more than 200 beats per minute. Delta waves may be obscured when atria discharge at a rate of more than 300 bpm. This case describes rare ECG features of AF that may resemble AF with pre-excitation. Organised atrial activity may masquerade as short PR interval and delta patterns. QRS morphology does not change in AF.
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