Wellens’ syndrome: a case report with atypical features

  • Giulia Ghizzoni Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia; Cardio-Thoracic Department, ASST Spedali Civili, Brescia, Italy.
  • Edoardo Sciatti | edoardo.sciatti@gmail.com Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Italy; Cardio-Thoracic Department, ASST Spedali Civili, Brescia, Italy, Italy. http://orcid.org/0000-0002-3479-3454
  • Enrico Vizzardi Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Italy; Cardio-Thoracic Department, ASST Spedali Civili, Brescia, Italy, Italy.
  • Ivano Bonadei Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Italy; Cardio-Thoracic Department, ASST Spedali Civili, Brescia, Italy, Italy.
  • Davide Fabbricatore Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Italy; Cardio-Thoracic Department, ASST Spedali Civili, Brescia, Italy, Italy.
  • Marco Metra Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Italy; Cardio-Thoracic Department, ASST Spedali Civili, Brescia, Italy, Italy.

Abstract

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.

Downloads

Download data is not yet available.

PUBLICATION METRICS

PlumX Metrics provide insights into the ways people interact with individual pieces of research output (articles, conference proceedings, book chapters, and many more) in the online environment. Examples include, when research is mentioned in the news or is tweeted about. Collectively known as PlumX Metrics, these metrics are divided into five categories to help make sense of the huge amounts of data involved and to enable analysis by comparing like with like.

Published
2019-09-30
Info
Issue
Section
Cardiology - Case Reports
Keywords:
Wellens’ syndrome, unstable angina, electrocardiogram, T-wave
Statistics
  • Abstract views: 452

  • PDF: 335
How to Cite
Ghizzoni, G., Sciatti, E., Vizzardi, E., Bonadei, I., Fabbricatore, D., & Metra, M. (2019). Wellens’ syndrome: a case report with atypical features. Monaldi Archives for Chest Disease, 89(3). https://doi.org/10.4081/monaldi.2019.1093