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: 1292
PDF: 718
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC

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.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.