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Angiology
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Wolff-Parkinson-White Syndrome Mimicking Acute Anterior Myocardial Infarction in a Young Male Patient

A Case Report

Niyazi Güler, MD

Departments of Cardiology, School of Medicine Yüzüncü Yil, Van, Istanbul, Turkey.

Beyhan Eryonucu, MD

Departments of Cardiology, School of Medicine Yüzüncü Yil, Van, Istanbul, Turkey.

Mehmet Bilge, MD

Departments of Cardiology, School of Medicine Yüzüncü Yil, Van, Istanbul, Turkey.

Reha Erkoç, MD

Departments of Internal Medicine, School of Medicine Yüzüncü Yil, Van, Istanbul, Turkey.

Cengizhan Türkoglu, MD

Department of Cardiology, Haseki Cardiac Center, Istanbul University, Istanbul, Turkey.

A young male with Wolff-Parkinson-White syndrome whose electrocardiographic pattern was suggestive of acute anterior myocardial infarction is described. A 21-year-old male with a history of ventricular fibrillation after being successfully resuscitated was admitted to the coronary care unit. His electrocardiogram showed ST elevation in the precordial leads (V1-V6). This condition was erroneously interpreted as an acute myocardial infarction. At the fourth day, while ST elevations returned to baseline, short PR interval and delta waves were observed on the ECG. Myocardial infarction was excluded by biochemical tests, echocardiography, and coronary angiography. Electrophysiologic study confirmed Wolff-Parkinson-White syndrome with two accessory pathways.

Angiology, Vol. 52, No. 4, 293-295 (2001)
DOI: 10.1177/000331970105200411
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