Wellens’ syndrome, clinical equivalent of critical coronary stenosis

Fernando Iván Vergara-Orduña; Lecsy Macedo-Calvillo; Elizabeth Palacios-Pérez; Miriam Marcela Hernández-Sánchez; Norma Laura Fonseca-Tinoco

2018, Number 4

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Med Int Mex 2018; 34 (4)

Wellens’ syndrome, clinical equivalent of critical coronary stenosis

Vergara-Orduña FI, Macedo-Calvillo L, Palacios-Pérez E, Hernández- Sánchez MM, Fonseca-Tinoco NL

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Language: Spanish
References: 8
Page: 658-661
PDF size: 236.87 Kb.

ABSTRACT

Acute myocardial infarction with ST elevation is an urgent indication for cardiac catheterization. Wellens’ syndrome is a persistent reversal of the T wave in leads V2 and V3 with clinical presence compatible with angina; the evidence of this syndrome indicates the critical occlusion of the anterior descending coronary artery, with cardiac catheterization being the treatment of choice. We present the clinical case of a patient with cardiovascular risk factors, with evidence of Wellens’ syndrome type B. Recognition and proper decision-making are critical in these circumstances.

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