Pseudo- Wellens syndrome?
Keywords:
wellens syndrome, non-ST-segment elevation acute coronary syndrome, electrocardiogram.Abstract
Introduction: Wellens syndrome is characterized by an
electrocardiographic pattern with negative T waves in the right preocordial
leads associated with a severe lesion of the anterior descending artery.
However, other causes could provoke this electrocardiographic pattern.
Objective: to provide considerations on the pathophysiology of
Wellens syndrome in a particular case.
Case Report: A 66-year-old patient with a personal history of being
a smoker came to the emergency department of our hospital with an
episode of chest pain. The electrocardiogram showed a Wellen´s type 1
pattern; coronary angiography was performed, showing a severe lesion in
the first diagonal artery..
Conclusions: Regardless of the numerous advances in the
identification of risk factors, diagnosis and treatment of ischemic heart
disease, the management of patients with this syndrome has not been
standardized. A group of patients only receive pharmacological treatment
while others are revascularized by percutaneous intervention.
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References
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