Abstract

Wolff-Parkinson-White (WPW) syndrome is not a common presentation, but physicians get to see cases with pre-excitation syndrome. WPW is characterized by the existence of an accessory pathway that predisposes patients to tachyarrhythmias and sudden death. Patients with WPW syndrome are at greater risk of hazardous ventricular arrhythmias. The majority of the cases never present with an underlying structural cardiac disease. It is always controversial to manage asymptomatic patients with WPW syndrome. Here, we discuss an uncommon case of a 48-year-old man with WPW syndrome after being evaluated for palpitation and giddiness.