Reversible ischemia in Wellens’ syndrome

Hovland, Anders; Bjørnstad, Hanne; Staub, U.; Vik‐Mo, Harald

doi:10.1016/j.nuclcard.2006.10.017

Cited by 9 publications

(4 citation statements)

References 4 publications

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“…The rest images showed a small anteroseptal defect at rest with normal motion on echocardiography. The defect has been attributed by the authors to breast attenuation artifact or hibernating myocardium [8]. The later observations may point to the possibility that the characteristic T-wave changes happen as a sequel to reperfusion after transient ischemic event [9].…”

Section: Discussionmentioning

confidence: 99%

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ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ Syndrome

Patel

Alattar

Koneru

et al. 2014

Case Reports in Emergency Medicine

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Wellens' syndrome, also known as LAD coronary T-wave inversion syndrome, is a characteristic ECG pattern that highly suggests critical stenosis of the proximal left anterior descending (LAD) coronary artery. 75% of patients with this finding go on to develop acute anterior wall myocardial infarction within one week unless prevented by early intervention on the culprit lesion. Most instances of ST-elevation occurring during cardiac stress testing have been observed with exercise, with only seven cases reported in the literature with pharmacologic stress. We present a case of a patient with no known cardiac disease who presented with chest pain and an ECG consistent with Wellens' syndrome that developed an acute anterior wall ST-elevation myocardial infarction after pharmacologic stress test.

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Section: Discussionmentioning

confidence: 99%

“…STEMI has been precipitated in cases of Wellens' syndrome after regular exercise stress [8]. Here, the remarkable aspect of this case is that progression to an acute STEMI happened after a pharmacologic based stress test using a vasodilator drug (Persantine).…”

Section: Discussionmentioning

confidence: 99%

ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ Syndrome

Patel

Alattar

Koneru

et al. 2014

Case Reports in Emergency Medicine

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“…An EKG obtained during episodes of pain will demonstrate upright T-waves with possible ST segment elevation or depression, but an isoelectric ST segment may also be seen. [ 5 ] Cardiac enzymes will be normal or mildly elevated[ 6 ] [ Table 1 ]. [ 5 7 ] Dr. Wellens describes an essentially normal EKG in patients with critical LAD stenosis with the exception of a slight negative deflection at the end of the T-waves in leads V1 and V2 when anginal pain is present at the time of the EKG [ Figure 3 ].…”

Section: Discussionmentioning

confidence: 99%

Wellen′s syndrome: An ominous EKG pattern

Mead

O’Keefe

2009

J Emerg Trauma Shock

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Wellen's syndrome is a characteristic T-wave on an electrocardiogram during a pain-free period in a patient with intermittent chest pain. This finding suggests a high-degree stenosis of the proximal left anterior descending (LAD) coronary artery that will soon result in an acute anterior wall myocardial infarction (MI) if the patient is not urgently catheterized and the occlusion opened. This case report discusses a young male patient with no known cardiac disease with an EKG that demonstrates the classic Wellen's T-waves. He was urgently taken to cardiac catheterization and his 95% proximal LAD stenosis was reduced via drug-eluding stent. Through knowledge of Wellen's T-waves, more anterior wall MIs can be prevented.

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“…Commonly, it is a substernal pain with tightness that radiates to the left arm, the jaw, or the back. Heavy meals, cold, or exertion can exacerbate the pain [4]. The pain can also be associated with dyspnea, sweating, dizziness, and palpitations.…”

Section: Wellen's Syndromementioning

confidence: 99%

Broad Electrocardiogram Syndromes Spectrum: From Common Emergencies to Particular Electrical Heart Disorders

Balta

Ceasovschih

Șorodoc

et al. 2022

JPM

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Electrocardiogram (ECG) still remains a very useful diagnostic method in modern cardiology. Its broad availability, noninvasiveness and good sensitivity explain why it plays a capital role in the very beginning of the process of diagnosis for every patient, with or without cardiac-related complaints. For the practitioner, good training in ECG interpretation is mandatory. Sometimes, the ECG trace reveals particular aspects that may cause confusion and complicate decision-making. In this article, we present several less common situations underlying the general context and ECG features. The syndromes studied have a high pathological significance and may range from acute emergencies that call for a rapid therapeutical response to chronic syndromes that require prolonged observation, monitoring and risk stratification.

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Reversible ischemia in Wellens’ syndrome

Cited by 9 publications

References 4 publications

ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ Syndrome

ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ Syndrome

Wellen′s syndrome: An ominous EKG pattern

Broad Electrocardiogram Syndromes Spectrum: From Common Emergencies to Particular Electrical Heart Disorders

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