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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
[Pseudo-Wellens syndrome in a patient with vasospastic angina]
Piotr Kukla1, Renata Korpak-Wysocka, Jacek Dragan
1Oddział Internistyczno-Kardiologiczny, Szpital im. H. Klimontowicza, Gorlice. kukla_piotr@poczta.onet.pl
Abstract:
Wellens syndrome is characterised by negative or biphasic T waves in V2-V4 leads and critical stenosis of proximal part of the left descending coronary artery. These ECG changes without atherosclerotic changes in coronary angiography, i.e. coronary artery spasm are called pseudo-Wellens syndrome. We describe a patient with acute coronary syndrome and pseudo-Wellens syndrome as a cause of vasospastic angina. These ECG abnormalities need differentiation with acute pulmonary embolism.
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