Biphasic T- waves evolving to deep T waves following crescendo angina
Sachin Sapkota1, Nithyalakshmi Rajkumar1, Abirami Balasubramanian1
1Texas Tech University Health Science center, El Paso, TX, USA.
None:
An 80-year-old woman with diabetes and hypertension presented with crescendo angina. Initial electrocardiogram during chest pain showed biphasic T waves in leads V2-V3. Follow-up electrocardiogram after symptom resolution demonstrated deep symmetric T-wave inversions in the same leads. Coronary angiography revealed critical proximal left anterior descending artery stenosis. The evolution from Wellen Type A to Type B pattern has rarely been described in current literature. (Level of Difficulty: Intermediate).
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