Wellens' syndrome: a rare presentation after an endoscopic retrograde cholangiopancreatography

被引：0
作者：
Broker, Michael [1 ]
Govil, Nikhil [1 ]
Khosla, Jagjit [1 ]
Michaud, Liana [1 ]
Aronow, Wilbert S. [2 ]
机构：
[1] New York Med Coll, Westchester Med Ctr, Dept Internal Med, Valhalla, NY 10595 USA
[2] New York Med Coll, Westchester Med Ctr, Dept Cardiol, Valhalla, NY 10595 USA
来源：
FUTURE CARDIOLOGY | 2020年 / 16卷 / 06期
关键词：
acute coronary syndromes; endoscopic retrograde cholangiopancreatography; left anterior descending artery stenosis; t wave inversion; wellens' ECG; wellens' syndrome;
D O I：
10.2217/fca-2020-0011
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Wellens' syndrome is a pattern of ECG changes typically seen in patients with unstable angina that has a high positive predictive value for critical left anterior descending coronary artery stenosis. Recognition of this syndrome can allow for intervention before the patient develops myocardial infarction. We report a case of Wellens' syndrome that was observed after an endoscopic retrograde cholangiopancreatography, which highlights risk factors that needs consideration in evaluating patients with these ECG findings after undergoing procedures even when asymptomatic.
引用
收藏
页码：625 / 628
页数：4
相关论文
共 10 条
  • [1] Incidence rates of post-ERCP complications: A systematic survey of prospective studies
    Andriulli, Angelo
    Loperfido, Silvano
    Napolitano, Grazia
    Niro, Grazia
    Valvano, Maria Rosa
    Spirito, Fulvio
    Pilotto, Alberto
    Forlano, Rosario
    [J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 2007, 102 (08) : 1781 - 1788
  • [2] Endoscopic retrograde cholangiopancreatography causes reduced myocardial blood flow
    Christensen, M
    Hendel, HW
    Rasmussen, V
    Hojgaard, L
    Schulze, S
    Rosenberg, J
    [J]. ENDOSCOPY, 2002, 34 (10) : 797 - 800
  • [3] CHARACTERISTIC ELECTROCARDIOGRAPHIC PATTERN INDICATING A CRITICAL STENOSIS HIGH IN LEFT ANTERIOR DESCENDING CORONARY-ARTERY IN PATIENTS ADMITTED BECAUSE OF IMPENDING MYOCARDIAL-INFARCTION
    DEZWAAN, C
    BAR, FWHM
    WELLENS, HJJ
    [J]. AMERICAN HEART JOURNAL, 1982, 103 (04) : 730 - 736
  • [4] Cardiopulmonary complications of ERCP in older patients
    Fisher, L
    Fisher, A
    Thomson, A
    [J]. GASTROINTESTINAL ENDOSCOPY, 2006, 63 (07) : 948 - 955
  • [5] RESTING U-WAVE INVERSION AS A MARKER OF STENOSIS OF THE LEFT ANTERIOR DESCENDING CORONARY-ARTERY
    GERSON, MC
    MCHENRY, PL
    [J]. AMERICAN JOURNAL OF MEDICINE, 1980, 69 (04) : 545 - 550
  • [6] EXERCISE-INDUCED U-WAVE INVERSION AS A MARKER OF STENOSIS OF THE LEFT ANTERIOR DESCENDING CORONARY-ARTERY
    GERSON, MC
    PHILLIPS, JF
    MORRIS, SN
    MCHENRY, PL
    [J]. CIRCULATION, 1979, 60 (05) : 1014 - 1020
  • [7] Pseudo-Wellens' syndrome and intermittent left bundle branch block in acute cholecystitis
    Grautoff, Steffen
    Balog, Martin
    Winde, Guenther
    [J]. AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2018, 36 (07) : 1323.e1 - 1323.e6
  • [8] Endoscopic Retrograde Cholangiopancreatography in Patients with Previous Acute Coronary Syndrome
    Koh, Han-Ra
    Park, Chang-Hwan
    Chung, Min-Woo
    Park, Seon-Young
    Hong, Young-Joon
    Jeong, Myung-Ho
    Kim, Hyun-Soo
    Choi, Sung-Kyu
    Rew, Jong-Sun
    [J]. GUT AND LIVER, 2014, 8 (06) : 674 - 679
  • [9] Safety and efficacy of ERCP after recent myocardial infarction or unstable angina
    Nojkov, Borko
    Cappell, Mitchell S.
    [J]. GASTROINTESTINAL ENDOSCOPY, 2010, 72 (04) : 870 - 880
  • [10] Electrocardiographic manifestations of Wellens' syndrome
    Rhinehardt, J
    Brady, WJ
    Perron, AD
    Mattu, A
    [J]. AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2002, 20 (07) : 638 - 643
1