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Case Report
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Wolff–Parkinson–White syndrome presenting as atrial fibrillation in a female patient with situs inversus
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Ben Ghezala Hassen1,
Snouda Salah2,
Abbes Fehmi3,
Bechikh Imen2
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1Medical Director Physician Director, Teaching Department of Emergency and Intensive Care Medicine, Zaghouan Hospital, Zaghouan, Tunisia.
2Medical Director, Teaching Department of Emergency and Intensive Care Medicine, Zaghouan Hospital, Zaghouan, Tunisia.
3Medical Director, Department of Cardiology, Zaghouan Hospital, Zaghouan, Tunisia.
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Article ID: 100009CRINTBH2015
doi:10.5348/crint-2015-9-CR-4
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Address correspondence to:
Snouda Salah
Regional Hospital of Zaghouan
Avenue of Environment
Zaghouan 1100
Tunisia
Phone: +216 90269364
Fax: +216 72675772
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How to cite this article:
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Hassen BG, Salah S, Fehmi A, Imen B. Wolff–Parkinson–White syndrome presenting as atrial fibrillation in a female patient with situs inversus. Case Rep Int 2015;4:14–17.
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Introduction:
Wolff-Parkinson-White (WPW) syndrome is a conduction disturbance characterized by the presence of an accessory pathway between the atria and the ventricles. Among patients with WPW syndrome, atrioventricular reentrant tachycardia (AVRT) is the most common arrhythmia. Atrial fibrillation associated with WPW is less common but potentially life-threatening arrhythmia as it can degenerate to ventricular fibrillation (VF).
Case Report:
We report a case of wide-QRS tachycardia with which was subsequently diagnosed as WPW syndrome with atrial fibrillation (AF) in a patient with dextrocardia situs inversus. Treated initially by electrical conversion and then in a second plane by catheter ablation.
Conclusion:
WPW syndrome is not infrequently encountered in the patient presenting to the emergency department with tachyarrhythmias. Once symptomatic, patients can be treated with or can try medications to control their symptoms. A particular attention must be paid to patients with dextrocardia situs inversus, especially in ECG record and electrical cardioversion.
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Keywords:
Atrial fibrillation, Dextrocardia, Situs inversus, Wolff-Parkinson-White (WPW) syndrome
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Author Contributions
Ben Ghezala Hassen – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Snouda Salah – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Abbes Fehmi – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Bechikh Imen – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
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Guarantor of submission
The corresponding author is the guarantor of submission.
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Source of support
None
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Conflict of interest
Authors declare no conflict of interest.
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Copyright
©
2015 Ben Ghezala Hassen et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
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