Wellens' syndrome: a case report with atypical features

被引：1
|
作者：
Ghizzoni, Giulia
Sciatti, Edoardo
Vizzardi, Enrico
Bonadei, Ivano
Fabbricatore, Davide
Metra, Marco
机构：
[1] Univ Brescia, Cardiol Unit, Dept Med & Surg Specialties, Radiol Sci & Publ Hlth, Brescia, Italy
[2] ASST Spedali Chili, Cardiothorac Dept, Brescia, Italy
来源：
MONALDI ARCHIVES FOR CHEST DISEASE | 2019年 / 89卷 / 03期
关键词：
Wellens' syndrome; unstable angina; electrocardiogram; T-wave;
D O I：
10.4081/monaldi.2019.1093
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
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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