Open AccessWellens’ 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. pulmonary series/monaldi archives for chest disease/monaldi archives for chest disease. cardiac series
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.