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

Wellens’ syndrome: a case report with atypical features

Vol. 89 No. 3 (2019)
Submitted: May 14, 2019
Accepted: September 4, 2019
Published: September 30, 2019
Wellens’ syndrome, unstable angina, electrocardiogram, T-wave
Abstract Views: 1261
PDF: 713
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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
https://orcid.org/0000-0002-3479-3454
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.
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.

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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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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