JACC. Case reports · 2025
Wellens Pattern: Same ECG Curve, Different Pathways.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Arghittu Giovanni, Iseppi Manuela, Giovannini Davide, Zeni Prisca, Muraglia Simone, Moretti Michele, Marini Massimiliano, Zilio Filippo, Bonmassari Roberto
Аннотация
INTRODUCTION: Wellens syndrome refers to a characteristic electrocardiographic pattern, marked by inverted or biphasic T waves in leads V2 and V3, associated with a critical proximal stenosis of the left anterior descending artery. Patients with Wellens syndrome typically present asymptomatically and with normal or slightly elevated troponin levels. This condition is frequently under-recognized, leading to delays in diagnosis and treatment.
CASE SUMMARY: We report 4 clinical cases, 3 women and 1 man, with a mean age of 64 years and no prior cardiac history. All patients initially presented with a clinical picture of unstable angina or non-ST-segment elevation myocardial infarction, with a characteristic Wellens pattern on electrocardiogram. In 2 patients, the pattern was promptly recognized, however in the other 2 cases, the diagnosis was initially missed, resulting in delayed intervention.
CONCLUSIONS: Our case series show how promptly recognition and timely action can lead to better prognosis in terms of myocardial injury and left ventricular ejection fraction.
CASE SUMMARY: We report 4 clinical cases, 3 women and 1 man, with a mean age of 64 years and no prior cardiac history. All patients initially presented with a clinical picture of unstable angina or non-ST-segment elevation myocardial infarction, with a characteristic Wellens pattern on electrocardiogram. In 2 patients, the pattern was promptly recognized, however in the other 2 cases, the diagnosis was initially missed, resulting in delayed intervention.
CONCLUSIONS: Our case series show how promptly recognition and timely action can lead to better prognosis in terms of myocardial injury and left ventricular ejection fraction.