THE ROLE OF GP’S WHEN FACING A WOLFF-PARKINSON-WHITE PATTERN: A CASE REPORT

Introduction and Objective: Wolff-Parkinson-White (WPW) syndrome is a congenital condition involving abnormal conductive cardiac tissue that provides a pathway for a reentrant tachycardia circuit, in association with supraventricular tachycardia. It appears to affect both sexes; however, it’s more frequent in males. Patients can have WPW pathway (WPW pattern) but never experience any symptoms. If symptoms do occur (WPW syndrome), they are related to an abnormal heart rhythm and patients may experience palpitations, dizziness, fainting, or rarely, sudden death as a result of the very rapid ventricular response seen in WPW syndrome. We present a case of WPW pattern and its management. Method: Data was gathered from interviews with patient, analysis of patient’s clinical records including medical history, physical examination, diagnostic procedures and treatment. A literature review about the subject was also performed. Results and Conclusions: 23-year-old woman, caucasian, no relevant personal or family history. Scheduled an appointment with her GP to request cardiac and analytic evaluation as she practices exercise regularly. Apparently with no complains. Exams result: sinus rhythm with a heart rate of 66 bpm, short PR interval and delta wave, suggesting pattern of WPW. Although she denied any symptoms, her mother refers some episodes of palpitations which the patient disregarded as exercise was an important feature in her life. Referral to a cardiologist for further investigation, stratification of sudden death risk and WPW management. GP’s are in a privileged position to assess and clarify patients about this condition and may have an important role in patients’ follow -up.