| Autor: |
TORELLI, E., SARDEO, F., NUZZO, E., CICCHINELLI, S., PETRUCCI, M., PIGNATARO, G., COVINO, M., FRANCESCHI, F., CANDELLI, M. |
| Zdroj: |
European Review for Medical & Pharmacological Sciences; 2020, Vol. 24 Issue 14, p7718-7721, 4p |
| Abstrakt: |
OBJECTIVE: Wellens syndrome is a typical electrocardiographic and clinical pattern that correlates with a severe proximal stenosis of the left anterior descending artery (LAD). It is associated with previous angina, no or slightly increased cardiac markers, and two ECG patterns: diphasic T wave in V2-V3 (Type A) or deep negative T waves from V1 to V4 (type B). In this paper, we described two cases with asymptomatic Wellens patterns. PATIENTS AND METHODS: We describe two cases of Wellens syndrome ECG pattern that we observed in our Emergency Department not accompanied by chest pain or angina equivalents. RESULTS: Both patients presented significant stenosis of LAD at the coronary angiography. CONCLUSIONS: Asymptomatic patients presenting with Wellens ECG pattern should perform a coronary arteriography cause of the risk of a severe LAD stenosis. We need further studies to confirm if all "silent" Wellens syndromes deserve angiographic study. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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