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2020, Number 2

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Cardiovasc Metab Sci 2020; 31 (2)

Wellens’ syndrome: report and review of a case

Aldana VO, Chacón JGV, Hernández-Mercado MA, López Reyes FF, Morales-Bernal NE

Language: English
References: 35
Page: 53-58
PDF size: 1197.85 Kb.


ABSTRACT

Wellens’ syndrome is a clinical entity characterized by an important occlusion of the left anterior descending artery (10-15% of incidence) in more than the 80% of the cases in the proximal segment, that is diagnosed with an electrocardiogram with the presence of precordial T wave inversion (V1-V5) in the 76% of the cases (type B) and in the 24% of the cases in V2-V3 leads (type 1). We present a patient evaluated in the emergency department for intermittent chest pain and T-wave inversion of the Wellens syndrome type B pattern, who was treated with percutaneous coronary intervention where a critical lesion was demonstrated in the medial anterior descending. This case shows how timely diagnosis prevents progression to extensive anterior acute myocardial infarction.


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