Cardiology - Case Reports Open access

Wellens’ syndrome: a case report with atypical features

Authors

  • Giulia Ghizzoni – articles in this journal Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia; Cardio-Thoracic Department, ASST Spedali Civili, Brescia, Italy.
  • Edoardo Sciatti – articles in this journal Corresponding author Email https://orcid.org/0000-0002-3479-3454 Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Italy; Cardio-Thoracic Department, ASST Spedali Civili, Brescia, Italy, Italy.
  • Enrico Vizzardi – articles in this journal Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Italy; Cardio-Thoracic Department, ASST Spedali Civili, Brescia, Italy, Italy.
  • Ivano Bonadei – articles in this journal Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Italy; Cardio-Thoracic Department, ASST Spedali Civili, Brescia, Italy, Italy.
  • Davide Fabbricatore – articles in this journal Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Italy; Cardio-Thoracic Department, ASST Spedali Civili, Brescia, Italy, Italy.
  • Marco Metra – articles in this journal Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Italy; Cardio-Thoracic Department, ASST Spedali Civili, Brescia, Italy, Italy.
Published
30 September 2019
Section
Cardiology - Case Reports
DOI
10.4081/monaldi.2019.1093

Abstract

Wellens’ syndrome is a pattern of electrocardiographic T-wave changes seen in the precordial leads in patients with unstable angina. Two different patterns have been described. Type A presents with biphasic T-waves in V2-V3 and type B presents with symmetrical deep T-wave inversions in V2-V3. The etiology is related to a critical stenosis in the proximal left anterior descending artery (LAD). We describe a patient who presented at our emergency department with intermittent chest pain and showing Wellens’ pattern T-wave inversions in the precordial leads of the electrocardiogram. She was found to have 95% stenosis in mid LAD.

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