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J Community Hosp Intern Med Perspect. 2021 Nov 15;11(6):839-842. doi: 10.1080/20009666.2021.1978155. eCollection 2021.

Management of Wolff-Parkinson-White syndrome in a patient with peripartum cardiomyopathy.

Journal of community hospital internal medicine perspectives

Snigdha Bendaram, Sherif Elkattawy, Muhammad Atif Masood Noori, Hardik Fichadiya, Sarah Ayad, Parminder Kaur, Raja Pullatt, Fayez Shamoon

PMID: 34804402 PMCID: PMC8604443 DOI: 10.1080/20009666.2021.1978155

Abstract

Wolf-Parkinson-White (WPW) syndrome is a congenital heart condition in which the atrioventricular (AV) node is bypassed by an accessory pathway that connects the atria and ventricle directly along with symptoms of syncope or palpitations. WPW syndrome in patients with a history of peripartum cardiomyopathy (pregnancy-related cardiomyopathy) is associated with a high risk of morbidity and mortality secondary to failure of the pump and the conduction system of the heart. Management of these cases deals with arrhythmia and systolic heart failure, which becomes more challenging in pregnant patients as it requires treatment methods that minimize risks to the fetus. We report a case of a young female patient with WPW syndrome and peripartum cardiomyopathy presenting with symptomatic arrhythmias (tachycardia).

© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center.

Keywords: Wolf-Parkinson-White (WPW); arrhythmias; peripartum cardiomyopathy; tachycardia

Conflict of interest statement

No potential conflict of interest was reported by the author(s).

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