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Published on: September 19, 2019
Wellens' syndrome: a case report with atypical features
Giulia Ghizzoni1, Edoardo Sciatti, Enrico Vizzardi
1Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia; Cardio-Thoracic Department, ASST Spedali Civili, Brescia. ghizzoni.giulia@gmail.com.
Wellens
Area of Science:
- Cardiology
- Diagnostic Electrocardiography
Background:
- Wellens' syndrome indicates critical proximal left anterior descending artery stenosis.
- It manifests as specific T-wave abnormalities on electrocardiograms.
Observation:
- A patient presented with intermittent chest pain.
- Electrocardiogram revealed Wellens' pattern T-wave inversions in precordial leads.
Findings:
- The patient had a severe 95% stenosis in the mid left anterior descending artery.
- This confirms the link between Wellens' pattern and significant LAD occlusion.
Implications:
- Prompt recognition of Wellens' syndrome is crucial for identifying acute coronary syndromes.
- Early diagnosis facilitates timely intervention, potentially preventing myocardial infarction.
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