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May 1986

Infarction in Wolff-Parkinson-White Syndrome: Evolution of Q-Wave—T-Wave Vector Concordance

Author Affiliations

From the Department of Medicine and Cardiology Service, Walter Reed Army Medical Center, Washington, DC.

Arch Intern Med. 1986;146(5):1013. doi:10.1001/archinte.1986.00360170271036

• Wolff-Parkinson-White syndrome often mimics myocardial infarction. Q-wave—T-wave discordance (upright T waves in the inferior leads with inferior Q waves) is normally found in Wolff-Parkinson-White syndrome as a result of secondary repolarization changes. We evaluated Q-wave—T-wave concordance as a result of an inferoposterior infarction and documented it with electrocardiographic, enzyme, and catheterization data.

(Arch Intern Med 1986;146:1013)

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