Wellens' syndrome with segmental wall-motion abnormalities
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
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