Wellens’ syndrome: a case report with atypical features

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Giulia Ghizzoni
Edoardo Sciatti *
Enrico Vizzardi
Ivano Bonadei
Davide Fabbricatore
Marco Metra
(*) Corresponding Author:
Edoardo Sciatti | edoardo.sciatti@gmail.com


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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