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Revisiting Wolff–Parkinson–White risk stratification: a malignant arrhythmia in a patient with intermittent pre-excitation

Published online by Cambridge University Press:  21 September 2015

Erin A. Paul ,
Suzanne M. Mone  and
Leonardo Liberman
Erin A. Paul
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, New York-Presbyterian Morgan Stanley Children’s Hospital, Columbia University Medical Center, New York, New York, United States of America
Suzanne M. Mone
Affiliation:
Department of Pediatric Cardiology, Morristown Medical Center, Morristown, New Jersey, United States of America
Leonardo Liberman*
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, New York-Presbyterian Morgan Stanley Children’s Hospital, Columbia University Medical Center, New York, New York, United States of America
*
Correspondence to: L. Liberman, MD, Department of Pediatrics, Division of Pediatric Cardiology, New York-Presbyterian Morgan Stanley Children’s Hospital, 3959 Broadway, Room 255, New York, NY 10032, United States of America. Tel: 212 305 8509; Fax: 212 342 5721; E-mail: ll202@columbia.edu
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Abstract

It has been reported that the presence of intermittent pre-excitation indicates low risk of rapid conduction via the accessory pathway in atrial fibrillation. We report a case of a 10-year-old boy with a history of intermittent pre-excitation who presented with atrial fibrillation with very rapid conduction.

Keywords

Pre-excitationWolff–Parkinson–Whitesupraventricular tachycardiaatrial fibrillation
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 4 , April 2016 , pp. 781 - 783
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Copyright
© Cambridge University Press 2015 

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