Wellens' syndrome
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Pathology
- severe stenosis of the left anterior descending artery
Clinical manifestations
- recent history of angina pectoris
Laboratory
- markers of myocardial infarction
- troponin-I in serum slightly elevated
Diagnostic procedures
- electrocardiogram
- deeply inverted T-waves or biphasic T waves in ECG lead V2- ECG lead V3[1][2]
- isoelectric or minimally-elevated ST segment (< 1mm)
- no precordial Q waves
- preserved precordial R wave progression
- coronary angiography
- severe stenosis of the left anterior descending artery
Complications
Management
- drug-eluting coronary stent
- patients do poorly with medical therapy[2]
More general terms
References
- ↑ 1.0 1.1 Kannan L Figueredo VM Wellens' Syndrome N Engl J Med 2015; 372:66. January 1, 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25551527 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMicm1400946
- ↑ 2.0 2.1 2.2 Life in the Fast Lane. ECG Library Wellens' Syndrome http://lifeinthefastlane.com/ecg-library/wellens-syndrome/
- ↑ Rhinehardt J, Brady WJ, Perron AD, Mattu A. Electrocardiographic manifestations of Wellens' syndrome. Am J Emerg Med. 2002 Nov;20(7):638-43 PMID: https://www.ncbi.nlm.nih.gov/pubmed/12442245