Wellens síndrome

Case report

Authors

Keywords:

Wellens syndrome, electrocardiogram, myocardial infarction

Abstract

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.

 

Author Biography

DR. Roger Tenezaca Rodríguez, Universidad de Guayaquil

Especialista en Cardiología

Magister en Docencia en Educación Superior

Cardiólogo Clínico Hospital Guayaquil Abel Gilbert Pontón

Docente Universidad de Guayaquil

Miembro Sociedad Interamericana de Cardiología

Miembro Sociedad Argentina de Cardiología

Guayaquil – Ecuador

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.

Published

2023-11-29

How to Cite

Tenezaca Rodríguez, D. R. (2023). Wellens síndrome: Case report. REVISTA DE LA FACULTAD DE CIENCIAS MÉDICAS, 4(2), 1–8. Retrieved from https://revistas.ug.edu.ec/index.php/fcm/article/view/993