Open AccessWellens’ syndrome and finding of multiple coronary cameral fistulae: Is it time to discard this term?
Author(s) -
Ibarrola Martin
Publication year - 2020
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12693
Subject(s) - medicine , cardiology , ventricle , chest pain , artery , stenosis , coronary artery disease , fistula , electrocardiography , st segment , radiology , myocardial infarction
Abstract Wellens’ syndrome refers to electrocardiographic (ECG) abnormalities in the precordial T‐wave segment, which are associated with critical stenosis of the proximal left anterior descending (LAD) coronary artery. According to medical literature, this ECG abnormality is of paramount importance because this syndrome represents a preinfarction stage of coronary artery disease; however, same ECG pattern can also be seen in other conditions. Coronary fistula occurs due to anomalous communications between a coronary artery and a cardiac chamber or other vessel in the vicinity of the heart. We report a case of multiple coronary artery fistulae to the left ventricle in a 74‐year‐old woman who had a 2‐year history of intermittent atypical chest pain and exercise dyspnea with positive criteria mimicking Wellens’ syndrome without coronary atherosclerosis.