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Histiocytoid cardiomyopathy presenting with Wolff-Parkinson-White syndrome
  1. M D Cabanaa,
  2. O Bechera,
  3. A Smithb
  1. aDepartment of Pediatrics, Carnegie Building #291, The Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287-6220, USA, bDepartment of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  1. Dr M D Cabana, Department of Pediatrics and Communicable Diseases, University of Michigan Health System, D3202 Medical Professional Building 0718, 1500 E Medical Center Drive, Ann Arbor, MI 48019-0718, USA. email: mcabana{at}

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A 14 month old African American girl with a history of Wolff-Parkinson-White (WPW) syndrome presented to the emergency department apnoeic, cyanotic, and without a pulse. She had suddenly become limp and unarousable. She did not respond to resuscitative efforts and was pronounced dead.

The patient had been diagnosed with WPW when she was 6 months old, after an irregular rhythm was noted in a routine examination. ECG showed normal sinus rhythm with infrequent preventricular contractions, a delta wave, a PR interval of 0.06 seconds, and a QRS interval …

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