Low Voltage Electric Injury induced Atrial Fibrillation as a Presenting Feature of Wolff-Parkinson-White Syndrome: A Case Report

Hafeez, Imran; Sohail, Mohd Maqbool; Lone, Ajaz; Gupta, Amit; Iqbal, Khurshid; Aslam, Khursheed; Alai, Mohd Sultan; Iqbal, Shamim

doi:10.5001/omj.2013.130

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…The mode of inheritance of WPWS (OMIM 194200) is autosomal dominant, attributed to a heterozygous mutation in the PRKAG2 gene from chromosome 7q36.1 that encodes for the 5′‐AMP‐activated protein kinase subunit gamma‐2 protein controlling cardiac intracellular energy 39,40 . Isolated instances of physical assault 41 or electrical injury 42 have resulted in the sudden onset of WPWS in previously unaffected individuals.…”

Section: Discussionmentioning

confidence: 99%

Wolff–Parkinson–White syndrome: Review of published cases associated with head and neck/oral and maxillofacial procedures

et al. 2022

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Aim The objective of this article is to review the demographics, diagnostic criteria, etiopathogenesis, comorbidities and management of Wolff–Parkinson–White syndrome (WPWS). In addition, the relevant cardiovascular outcomes of published cases involving head and neck/oral and maxillofacial procedures were summarized. Materials and Methods A search of the PubMed database, restricted to human studies published in the English language literature, was performed from 1960 through July 2021 for articles. Results The search strategy yielded 24 patients, totalling 25 dates of treatment, with WPWS concordant with head and neck/oral and maxillofacial procedures, predominately involving biopsy, tumour resection and extractions; significantly, 5 of whom, experienced their first episode of WPWS while undergoing treatment of the head and neck. None of the procedures resulted in patient death. Conclusions Practitioners should be familiar with the clinical features of WPWS and be prepared to manage emergent cardiovascular deterioration. Electrocardiogram monitoring of this cohort is advised during head and neck/oral and maxillofacial surgical procedures, particularly involving general anaesthesia. Breakthrough episodes of WPWS may still occur in patients who have previously undergone cardioconversion.

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Section: Discussionmentioning

confidence: 99%

Wolff–Parkinson–White syndrome: Review of published cases associated with head and neck/oral and maxillofacial procedures

et al. 2022

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“…Akdemir et al in 2004 detailed a case of atrial fibrillation following low voltage (220 V) electrical injury, which eventually revealed that the patient suffered from an undiagnosed pre-excitation syndrome 16. Hafeez et al reported a similar case following an electrical insult of <350 V wherein the patient was diagnosed to be suffering from Wolf-Parkinson-White Syndrome 17. Our case is, therefore, unique for it puts forward the possibility of encountering a common arrhythmia such as atrial fibrillation with rapid ventricular rate secondary to low voltage (220 V) electrical exposure in a patient with no history of prior or undiagnosed cardiac disease.…”

Section: Discussionmentioning

confidence: 99%

Atrial fibrillation following low voltage electrical injury

et al. 2021

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Electrical injuries can have myriad presentations, including significant cardiac involvement. Arrhythmias are the most frequently experienced cardiac affliction, of which sinus tachycardia or bradycardia, ventricular fibrillation, atrial or ventricular premature beats and bundle branch block are most commonly reported. A 50-year-old man, with no prior history of cardiac disease, presented with palpitations following low voltage electrical injury. On examination, he was tachycardic with an irregularly irregular pulse. An ECG confirmed atrial fibrillation with rapid ventricular rate. Chemical cardioversion was attempted successfully, following which the patient reverted to sinus rhythm. Atrial fibrillation following electrical injury has been rarely described in the literature, and is rarer so without associated high voltage electrical exposure or pre-existing cardiac ailment.

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“…In people with WPW who do not have AF, there is a low probability of activation of the above mechanisms in the event of an electric shock and may even lead to death [33].…”

Section: Af and Wpw Syndromementioning

confidence: 99%

WPW Syndrome: Review of the Evidence

Esmaeili¹

2021

NAPDD

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Low Voltage Electric Injury induced Atrial Fibrillation as a Presenting Feature of Wolff-Parkinson-White Syndrome: A Case Report

Cited by 3 publications

References 9 publications

Wolff–Parkinson–White syndrome: Review of published cases associated with head and neck/oral and maxillofacial procedures

Wolff–Parkinson–White syndrome: Review of published cases associated with head and neck/oral and maxillofacial procedures

Atrial fibrillation following low voltage electrical injury

WPW Syndrome: Review of the Evidence

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