Wellens’ syndrome: a case report with atypical features

https://doi.org/10.4081/monaldi.2019.1093

Authors

  • 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.

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Published
2019-09-30
Info
Issue
Section
Cardiology - Case Reports
Keywords:
Wellens’ syndrome, unstable angina, electrocardiogram, T-wave
Statistics
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  • PDF: 488
How to Cite
Ghizzoni, Giulia, Edoardo Sciatti, Enrico Vizzardi, Ivano Bonadei, Davide Fabbricatore, and Marco Metra. 2019. “Wellens’ Syndrome: A Case Report With Atypical Features”. Monaldi Archives for Chest Disease 89 (3). https://doi.org/10.4081/monaldi.2019.1093.

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