Wellens’ syndrome: a case report with atypical features | Zendy

Giulia Ghizzoni | Zendy; Edoardo Sciatti | Zendy; Enrico Vizzardi | Zendy; Ivano Bonadei | Zendy; Davide Fabbricatore | Zendy; Marco Metra | Zendy

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Wellens’ syndrome: a case report with atypical features

Author(s) -

Giulia Ghizzoni,

Edoardo Sciatti,

Enrico Vizzardi,

Ivano Bonadei,

Davide Fabbricatore,

Marco Metra

Publication year - 2019

Publication title -

monaldi archives for chest disease

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.196

H-Index - 46

eISSN - 2465-101X

pISSN - 1122-0643

DOI - 10.4081/monaldi.2019.1093

Subject(s) - t wave , medicine , cardiology , chest pain , precordial examination , stenosis , etiology , unstable angina , emergency department , st segment , electrocardiography , myocardial infarction , psychiatry

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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