TITLE:
Atrial Fibrillation in Wolff Parkinson White Syndrome: About a Case in Senegal
AUTHORS:
Waly Niang Mboup, Khadidiatou Dia, Mame Madjiguène Ka, Serigne Cheikh Tidiane Ndao, Demba Ware Balde, Djibril Mari Ba, Mouhamed Cherif Mboup, Adama Kane
KEYWORDS:
Wolff Parkinson and White, Atrial Fibrillation, Senegal
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.13 No.1,
January
31,
2023
ABSTRACT: WOLFF PARKINSON and WHITE (WPW) syndrome is the most common form of pre-excitation. It is associated in some cases with atrial fibrillation with a high risk of sudden death. We report the case of a 64-year-old hypertensive woman with a history of ischemic stroke. She presented with hyperkinetic palpitations without hemodynamics instability on admission. Theelectrocardiogram recorded a complete tachyarrhythmia by pre-excitation atrial fibrillation, with a mean rate of 300 beats per minute. Electrophysiological investigation revealed an accessory pathway located at the ostium of the coronary sinus, which was successfully ablated by radiofrequency. A drugtreatment based on flecaine 100mg was introduced. The patient was asymptomatic after one month of outpatient follow-up.