skip to content
Dovepress - Open Access to Scientific and Medical Research
View our mobile site

8852

Wellens' syndrome with segmental wall-motion abnormalities

Case report

(1185) Views  (381) Full article downloads

Authors: Turgay Celik, Baris Bugan, Serdar Firtina, et al

Published Date December 2010 Volume 2010:2 Pages 87 - 89
DOI: http://dx.doi.org/10.2147/OAEM.S14484

Turgay Celik1, Baris Bugan1, Serdar Firtina1, Murat Celik2, Sait Demirkol1, Atila Iyisoy1
1Gulhane Military Medical Academy, Department of Cardiology, Ankara, Turkey; 2Van Army District Hospital, Department of Cardiology, Van, Turkey

Abstract: Wellens' syndrome is a pattern of electrocardiographic T-wave changes associated with critical, proximal left anterior descending (LAD) artery stenosis. We herein report 2 cases of Wellens' syndrome with segmental wall-motion abnormalities The first case is a 50-year-old man admitted to the emergency department with typical chest pain. Admission ECG showed biphasic T waves in leads V1–V3 with inverted T waves in leads V4–V6, and cardiac enzymes were in normal limits. The second case is a 62-year-old woman admitted to the emergency department with chest pain on rest. Admission ECG showed deeply inverted T waves in leads V1–V4, and troponin T was minimally elevated. The critical lesions in the proximal segment LAD were successfully opened with stent deployments. Wall-motion abnormalities returned to normal after intervention.

Keywords: Wellens' syndrome, wall-motion abnormality, T-wave syndrome






Readers of this article also read:

Role of aliskiren in cardio-renal protection and use in hypertensives with multiple risk factors
ACE inhibitors – angiotensin II receptor antagonists: A useful combination therapy for ischemic heart disease
Treatment of patients with ethylene glycol or methanol poisoning: focus on fomepizole
Antithrombotic strategies in patients undergoing percutaneous coronary intervention for acute coronary syndrome
Small coronary vessel angioplasty: outcomes and technical considerations
Vasogenic shock physiology
Cumulative clinical experience from over a decade of use of levofloxacin in community-acquired pneumonia: critical appraisal and role in therapy
Cost-effectiveness of available treatment options for patients suffering from severe COPD in the UK: a fully incremental analysis
Effect of theophylline on exercise capacity in COPD patients treated with combination long-acting bronchodilator therapy: a pilot study
Primary care physician perceptions on the diagnosis and management of chronic obstructive pulmonary disease in diverse regions of the world