Clinical Communications: AdultsHyperacute T-waves: Wolff-Parkinson-White Pattern or Acute Coronary Syndrome?

Background\r\nPre-excitation syndromes can elicit electrocardiogram (ECG) abnormalities that are nearly identical to those associated with acute myocardial ischemia. In the presence of atypical symptoms, stable hemodynamics, and unremarkable levels of cardiac enzymes, the decision whether to subject these patients to coronary angiography, or even non-invasive testing, can be difficult.