Wellens’ syndrome

Umanzor, Eduardo Josué Flores; Vannini, Luca; Antonio, Rodolfo San; Somonte, Paula Sanchez; Martín-Yuste, Victoria

doi:10.1007/s11739-016-1483-x

Cited by 3 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients with Wellen's syndrome should receive urgent coronary angiography and, when possible, coronary revascularization should be done, even if the patient is outside the episode of anginal pain. Meanwhile, increased awareness of Wellens' syndrome facilitates communication between emergency physicians and cardiologists and significantly improves patient outcomes (Flores Umanzor et al, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

An uncommon case of Wellen's syndrome

Wang

Gao

et al. 2023

Noninvasive Electrocardiol

View full text Add to dashboard Cite

Wellen's syndrome, a STEMI equivalent, is associated with severe stenosis of the proximal left anterior descending (LAD) in a patient with chest pain who needs emergency coronary angiography with the possibility of intervention. Due to only T wave changes in the electrocardiograph (ECG), Wellen's syndrome was easily ignored. Moreover, it may progress to acute myocardial infarction or even cardiac arrest. Therefore, clinicians should improve their understanding of this ECG pattern and appropriately dilate the coronary angiography indication. In addition, more dangerous narrowing of a coronary artery, as in our case, the left main artery stenosis, should also be considered.

show abstract

Section: Discussionmentioning

confidence: 99%

An uncommon case of Wellen's syndrome

Wang

Gao

et al. 2023

Noninvasive Electrocardiol

View full text Add to dashboard Cite

show abstract

“…This pathology is an antecedent period of Acute Myocardial Infarction associated with obstructions in the Left Anterior Descending Artery, in the proximal segment (6) (7) .…”

Section: Introductionmentioning

confidence: 99%

Wellens' Syndrome: A Dangerous Heart Infrequency

García¹,

García²,

Gómez³

et al. 2022

EPRA

View full text Add to dashboard Cite

Wellens syndrome is an acute coronary syndrome with a high risk of life-threatening myocardial ischaemic disease. It should be emphasised that it is not always an acute process, and may manifest itself over periods of weeks and result in an Impending Acute Myocardial Infarction of the anterior wall. The aim of this research lies in the importance of detecting this pathology in a timely manner, because, although it is infrequent, it has a high mortality rate in patients who present it and do not have an early detection. KEY WORDS: wellens syndrome. inverted t-waves. coronary revascularisation. acute myocardial infarction.

show abstract

A Subtle Electrocardiographic Clue for a Major Problem

Pârvu¹,

Șerban²,

Mereuta

et al. 2019

Internal Medicine

View full text Add to dashboard Cite

Acute coronary syndromes exhibit rapid and variable ischemic dynamics, with consecutive electrocardiographic changes, sometimes in the absence of angina.We report the case of a 50 year-old man, admitted for suspected angor de novo, asymptomatic upon admission, and with a normal electrocardiogram. After a few hours, the repeated electrocardiogram displays biphasic T waves in V2–V4, in the absence of symptoms, and then marked ST elevation in the same territory, without chest pain. The patient is transferred with a STEMI diagnosis, and the coronary angiography documents a critical sub-occlusive stenosis in the proximal segment of the left anterior descending artery (LAD), for which a drug-eluting stent is inserted, with a favourable evolution.Wellens syndrome is defined by characteristic electrocardiographic changes of T waves in leads V2–V4, occurring in the context of unstable angina, usually without pain. They express a critical stenosis in the proximal LAD artery. Recognition of the Wellens syndrome is crucial, as these “pre-infarction” changes tend to evolve, sometimes rapidly, to an extensive anterior myocardial infarction. The rapid and unpredictable ischemic electrocardiographic changes make this case remarkable, as they occur in an asymptomatic patient with unstable angina (angor de novo), thus underlining the need for careful supervision in such patients.

show abstract

Wellens’ syndrome

Cited by 3 publications

References 4 publications

An uncommon case of Wellen's syndrome

An uncommon case of Wellen's syndrome

Wellens' Syndrome: A Dangerous Heart Infrequency

A Subtle Electrocardiographic Clue for a Major Problem

Contact Info

Product

Resources

About