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Vol 63, No 12 (2005)
Other
Published online: 2005-12-14
Submitted: 2012-12-28
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Electrocardiogran of the month
Wellens’s syndrome – the ominous T-waves

Zbigniew Orzałkiewicz, Gwidon Polak, Romuald Przybył, Małgorzata Ukleja-Adamowicz, Andrzej Hoffmann
Kardiol Pol 2005;63(12):656-661.

open access

Vol 63, No 12 (2005)
Other
Published online: 2005-12-14
Submitted: 2012-12-28

Abstract

We describe three patients with Wellens’s syndrome: biphasic T-waves or deeply inverted T-waves in the precordial leads plus a history of acute coronary syndrome without serum marker abnormalities. Wellens’s syndrome is due to critical stenosis of the proximal left anterior descending artery and there is a high risk for anterior wall myocardial infarction and/or sudden cardiac death within a few weeks. Early coronary angiography with subsequent PCI or CABG should be performed in these patients. The T-wave changes usually occur during a pain-free interval but resolve within 12 months after revascularisation.

Abstract

We describe three patients with Wellens’s syndrome: biphasic T-waves or deeply inverted T-waves in the precordial leads plus a history of acute coronary syndrome without serum marker abnormalities. Wellens’s syndrome is due to critical stenosis of the proximal left anterior descending artery and there is a high risk for anterior wall myocardial infarction and/or sudden cardiac death within a few weeks. Early coronary angiography with subsequent PCI or CABG should be performed in these patients. The T-wave changes usually occur during a pain-free interval but resolve within 12 months after revascularisation.

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Keywords

Wellens’s syndrome; negative t-waves; non-ST-segment elevation; acute coronary syndrome

About this article
Title

Electrocardiogran of the month
Wellens’s syndrome – the ominous T-waves

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 63, No 12 (2005)

Pages

656-661

Published online

2005-12-14

Bibliographic record

Kardiol Pol 2005;63(12):656-661.

Keywords

Wellens’s syndrome
negative t-waves
non-ST-segment elevation
acute coronary syndrome

Authors

Zbigniew Orzałkiewicz
Gwidon Polak
Romuald Przybył
Małgorzata Ukleja-Adamowicz
Andrzej Hoffmann

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