Wellens síndrome
Case report
Keywords:
Wellens syndrome, electrocardiogram, myocardial infarctionAbstract
This is a 61-year-old male patient who was admitted through the emergency service. In the anamnesis he presents a sedentary lifestyle and overweight as the only risk factors and no previous cardiovascular history. He is admitted with a history of typical angina lasting two days. The first electrocardiogram recorded shows negative, deep and symmetrical T waves in the precordial leads. This condition meets the clinical and electrocardiographic criteria of Wellens syndrome, whose recognition and appropriate intervention would prevent a potential extensive anterior myocardial infarction.
References
Zwaan C, Bär FW, Wellens H. Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction [Abstract]. Am Heart J 1982; 103:730.
Rhinehardt J, Brady WJ, Perron AD. Electrocardiographic manifestations of Wellens’ syndrome. Am J Emerg Med 2002; 20: 638-43.
Tatli E, Aktoz M. Department of Cardiology, School of Medicine, Trakya University, Edirne, Turkey. Wellens’ syndrome: The electrocardiographic finding that is seen as unimportant. Case report. Cardiology Journal 2009; 16: 73-5.
Stankovic I, Kafedzic S, Janicijevic A. T-wave changes in patients with Wellens syndrome are associated with increased myocardial mechanical and electrical dispersion. Int J Cardiovasc Imaging. 2017 Oct;33(10):1541-1549.