Wellens' syndrome: a case report with atypical features

Monaldi Arch Chest Dis. 2019 Sep 30;89(3). doi: 10.4081/monaldi.2019.1093.

Abstract

Wellens' syndrome is a pattern of electrocardiographic T-wave changes seen in the precordial leads in patients with unstable angina. Two different patterns have been described. Type A presents with biphasic T-waves in V2-V3 and type B presents with symmetrical deep T-wave inversions in V2-V3. The etiology is related to a critical stenosis in the proximal left anterior descending artery (LAD). We describe a patient who presented at our emergency department with intermittent chest pain and showing Wellens' pattern T-wave inversions in the precordial leads of the electrocardiogram. She was found to have 95% stenosis in mid LAD.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty / instrumentation*
  • Angioplasty / methods
  • Chest Pain / diagnosis*
  • Chest Pain / etiology
  • Computed Tomography Angiography / methods
  • Coronary Angiography / methods
  • Coronary Artery Disease / diagnostic imaging*
  • Coronary Artery Disease / pathology
  • Coronary Artery Disease / physiopathology*
  • Coronary Artery Disease / therapy
  • Diagnosis, Differential
  • Electrocardiography
  • Female
  • Humans
  • Middle Aged
  • Syndrome