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Wolff-Parkinson-White Syndrome: A Master of Disguise

Wolff-Parkinson-White syndrome is the most common form of ventricular preexcitation and affects 1-3 per 1,000 persons worldwide. Many patients remain asymptomatic throughout their lives; however, approximately half of the patients with Wolff-Parkinson-White syndrome experience symptoms secondary to...

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Autores principales: Sapra, Amit, Albers, Janet, Bhandari, Priyanka, Davis, Dean, Ranjit, Eukesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370641/
https://www.ncbi.nlm.nih.gov/pubmed/32699672
http://dx.doi.org/10.7759/cureus.8672
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author Sapra, Amit
Albers, Janet
Bhandari, Priyanka
Davis, Dean
Ranjit, Eukesh
author_facet Sapra, Amit
Albers, Janet
Bhandari, Priyanka
Davis, Dean
Ranjit, Eukesh
author_sort Sapra, Amit
collection PubMed
description Wolff-Parkinson-White syndrome is the most common form of ventricular preexcitation and affects 1-3 per 1,000 persons worldwide. Many patients remain asymptomatic throughout their lives; however, approximately half of the patients with Wolff-Parkinson-White syndrome experience symptoms secondary to tachyarrhythmias, such as paroxysmal supraventricular tachycardia, atrial fibrillation, atrial flutter, and, rarely, ventricular fibrillation and sudden death. Patients with Wolff-Parkinson-White syndrome may present with a multitude of symptoms such as unexplained anxiety, palpitations, fatigue, light-headedness or dizziness, loss of consciousness, and shortness of breath. We report the case of a patient who presented with a plethora of symptoms related to generalized anxiety along with several confounding factors such as psychosocial stressors, chronic fatigue secondary to high physical and mental demands at work, a strong family history of anxiety, and a history of substance abuse. Keeping cardiac dysrhythmia within his differential diagnosis allowed for accurate diagnosis and treatment.
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spelling pubmed-73706412020-07-21 Wolff-Parkinson-White Syndrome: A Master of Disguise Sapra, Amit Albers, Janet Bhandari, Priyanka Davis, Dean Ranjit, Eukesh Cureus Family/General Practice Wolff-Parkinson-White syndrome is the most common form of ventricular preexcitation and affects 1-3 per 1,000 persons worldwide. Many patients remain asymptomatic throughout their lives; however, approximately half of the patients with Wolff-Parkinson-White syndrome experience symptoms secondary to tachyarrhythmias, such as paroxysmal supraventricular tachycardia, atrial fibrillation, atrial flutter, and, rarely, ventricular fibrillation and sudden death. Patients with Wolff-Parkinson-White syndrome may present with a multitude of symptoms such as unexplained anxiety, palpitations, fatigue, light-headedness or dizziness, loss of consciousness, and shortness of breath. We report the case of a patient who presented with a plethora of symptoms related to generalized anxiety along with several confounding factors such as psychosocial stressors, chronic fatigue secondary to high physical and mental demands at work, a strong family history of anxiety, and a history of substance abuse. Keeping cardiac dysrhythmia within his differential diagnosis allowed for accurate diagnosis and treatment. Cureus 2020-06-17 /pmc/articles/PMC7370641/ /pubmed/32699672 http://dx.doi.org/10.7759/cureus.8672 Text en Copyright © 2020, Sapra et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Family/General Practice
Sapra, Amit
Albers, Janet
Bhandari, Priyanka
Davis, Dean
Ranjit, Eukesh
Wolff-Parkinson-White Syndrome: A Master of Disguise
title Wolff-Parkinson-White Syndrome: A Master of Disguise
title_full Wolff-Parkinson-White Syndrome: A Master of Disguise
title_fullStr Wolff-Parkinson-White Syndrome: A Master of Disguise
title_full_unstemmed Wolff-Parkinson-White Syndrome: A Master of Disguise
title_short Wolff-Parkinson-White Syndrome: A Master of Disguise
title_sort wolff-parkinson-white syndrome: a master of disguise
topic Family/General Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370641/
https://www.ncbi.nlm.nih.gov/pubmed/32699672
http://dx.doi.org/10.7759/cureus.8672
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