Wellens’ syndrome: a case report with atypical features

Autor: Giulia Ghizzoni, Edoardo Sciatti, Enrico Vizzardi, Ivano Bonadei, Davide Fabbricatore, Marco Metra
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Monaldi Archives for Chest Disease, Vol 89, Iss 3 (2019)
Druh dokumentu: article
ISSN: 1122-0643
2532-5264
DOI: 10.4081/monaldi.2019.1093
Popis: Wellens’ syndrome is a pattern of electrocardiographic T-wave changes seen in the precordial leads in patients with unstable angina. Two different patterns have been described. Type A presents with biphasic T-waves in V2-V3 and type B presents with symmetrical deep T-wave inversions in V2-V3. The etiology is related to a critical stenosis in the proximal left anterior descending artery (LAD). We describe a patient who presented at our emergency department with intermittent chest pain and showing Wellens’ pattern T-wave inversions in the precordial leads of the electrocardiogram. She was found to have 95% stenosis in mid LAD.
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