A Silent Alarm at Occupational Evaluation Two Months after a Normal Painful ECG: A Case of Wellens’ syndrome
| Autor: | Giuseppe Di Stolfo, Sandra Mastroianno, Giovanni De Luca, Domenico Rosario Potenza, Nicola Marchese, Carlo Vigna, Raffaele Fanelli |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Case Reports in Cardiology, Vol 2015 (2015) |
| Druh dokumentu: | article |
| ISSN: | 2090-6404 2090-6412 81324367 |
| DOI: | 10.1155/2015/819205 |
| Popis: | We describe a case of a 42-year-old man, with a previous episode of angina and a normal ECG and serum cardiac markers, and a two months later finding of biphasic T wave in leads V2-V3 and deeply inverted T wave in V4-V5 at a asymptomatic occupational evaluation. This is a typical ECG pattern of Wellens’ syndrome. A subsequent coronary angiography showed a critical stenosis of proximal left anterior descendent. We underline the careful value of prolonged observation in chest pain unit and repetitive ECG evaluation also during pain-free period after an angina episode, to exclude an earlier T wave pseudonormalization. |
| Databáze: | Directory of Open Access Journals |
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