A Case of Nonischemic T-Wave Inversions

Tull, Lindee Strizich; Goldberger, Zachary D.

doi:10.1001/jamainternmed.2014.4754

Cited by 4 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The differential diagnosis for precordial T-wave inversions is broad and includes left ventricular hypertrophy, pulmonary embolism, cerebral hemorrhage, cocaine-induced coronary vasospasm, chronic thromboembolic pulmonary hypertension, and Takotsubo cardiomyopathy. 6,7 A thorough history and physical examination are needed to narrow the differential. If Wellens syndrome is suspected, revascularization should be attempted with curative intent.…”

Section: Discussionmentioning

confidence: 99%

“…T-wave inversions in and of themselves do not equate to Wellens syndrome. The differential diagnosis for precordial T-wave inversions is broad and includes left ventricular hypertrophy, pulmonary embolism, cerebral hemorrhage, cocaine-induced coronary vasospasm, chronic thromboembolic pulmonary hypertension, and Takotsubo cardiomyopathy . A thorough history and physical examination are needed to narrow the differential.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Nearly Stressful Situation—A Case of Wellens Syndrome

Yazdi

Sharim

2019

JAMA Intern Med

View full text Add to dashboard Cite

A man in his 70s with no history of cardiovascular disease presented to the emergency department after a single episode of chest pressure the previous day. He noted substernal pressure that resolved after 10 minutes of rest but did not complain of any other symptoms. He presented to the emergency department 1 day later at the recommendation of his primary care provider. He had not experienced any chest pressure since the single episode.On presentation, the patient was hemodynamically stable with a blood pressure of 153/69 mm Hg and heart rate of 63 beats per minute; he was breathing comfortably on room air. His cardiac examination was normal without any murmurs or gallops. His neck veins were nondistended, and breath sounds were normal. Results of his blood chemistry tests and complete blood count were within normal limits. His troponin T hs Gen 5 was 0.32 ng/L (reference range, 0-14 ng/L) with a repeat measurement of 0.30 ng /L 1 hour later. An electrocardiogram (ECG) was performed (Figure 1A).

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Nearly Stressful Situation—A Case of Wellens Syndrome

Yazdi

Sharim

2019

JAMA Intern Med

View full text Add to dashboard Cite

show abstract

Syncope with QT interval prolongation and T-wave inversion: pulmonary embolism

Zhao

Wang

2015

The American Journal of Emergency Medicine

View full text Add to dashboard Cite

From Wellens’ syndrome to acute anterior myocardial infarction, what is required? Only time!

Zhang,

Kou

2024

J Int Med Res

View full text Add to dashboard Cite

The hallmark of Wellens' syndrome is a distinct modification in the precordial T wave of the electrocardiogram (ECG), which usually indicates substantial stenosis of the proximal left anterior descending artery (LAD). Patients with Wellens' syndrome commonly do not exhibit any symptoms of chest pain. This current case report describes a male patient in his early 60s who presented with sporadic chest pain who was subsequently diagnosed with Wellens’ syndrome-related electrocardiographic abnormalities. In the precordial leads V2–V5, an inverted symmetric T wave was visible on the asymptomatic ECG. The inverted symmetric T wave of the precordial lead V2–V5 reverted back to being upright when the chest pain started. A follow-up ECG performed before emergency surgery revealed ventricular premature beats and an increase of 0.1–0.5 mV in the ST segment of the precordial leads V1–V5. A drug-eluting stent was inserted after the patient's coronary angiography revealed proximal stenosis of the LAD. To prevent acute myocardial infarction, emergency physicians must identify the ECG signs of Wellens’ syndrome and treat high-risk patients with revascularization as soon as feasible. Early recognition and proactive intervention are crucial, as they may help to alleviate adverse consequences.

show abstract

A Case of Nonischemic T-Wave Inversions

Cited by 4 publications

References 9 publications

A Nearly Stressful Situation—A Case of Wellens Syndrome

A Nearly Stressful Situation—A Case of Wellens Syndrome

Syncope with QT interval prolongation and T-wave inversion: pulmonary embolism

From Wellens’ syndrome to acute anterior myocardial infarction, what is required? Only time!

Contact Info

Product

Resources

About