Wellens’ Syndrome: Critical Left Anterior Descending Artery Stenosis

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Wellens' Syndrome with a proximal left anterior descending artery occlusion

The case is a 52-year-old male admitted to cardiology department with chest tightness. Admission ECG showed nontypical T-wave changes in V2-V4 leads in pain peroids, and increasing severe narrowing of proximal LAD. Cardiac enzymes were abnormal. Emergency coronary angiography showed severe stenosis (99%) in proximal LAD.

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Bet 1: in Patients with Suspected Acute Coronary Syndrome, Does Wellens' Sign on the Electrocardiograph Identify Critical Left Anterior Descending Artery Stenosis?

Wellens' syndrome consists of a history suggestive of an acute coronary syndrome and biphasic or deeply inverted T waves in ECG leads V2-V3. A shortcut review was carried out to establish whether this ECG pattern identifies patients with a critical left anterior descending artery stenosis. Six relevant papers were found. The clinical bottom line is that biphasic T-wave inversion in lead V2-V3 s...

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ژورنال

عنوان ژورنال: Adnan Menderes Üniversitesi Tıp Fakültesi/Journal Of Adnan Menderes University Medical Faculty

سال: 2014

ISSN: 1302-6755

DOI: 10.5152/adutfd.2014.141800