We describe a clinical case series of 3 patients whose electrocardiogram evolved from type A Wellens syndrome to a type B. We emphasize that the diagnosis and treatment for both patterns is the same and that these findings suggest the evolution of the same disease.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10774787 | PMC |
| http://dx.doi.org/10.1016/j.jaccas.2023.102094 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Severe Myocardial Bridging-Induced Total Occlusion of the Left Anterior Descending (LAD) Artery Mimicking Wellens' Syndrome: A Case Report.
Cureus
November 2024
Cardiology, Kasturba Medical College, Manipal, Manipal, IND.
Article Synopsis
- - A 66-year-old man experienced increasing exertional chest pain, quickly worsening from NYHA class 2 to class 3, prompting medical investigation despite the lack of a clear trigger.
- - ECG results indicated changes typical of Wellens' syndrome, usually linked to serious left anterior descending artery blockages, yet initial checks showed no significant atherosclerosis.
- - Advanced imaging techniques, including coronary angiography and cardiac CT, identified a severe myocardial bridge in the LAD artery, highlighting the need to consider congenital anomalies in cardiac diagnosis and the importance of early recognition for effective treatment.
Urgent percutaneous coronary intervention in type 2 Wellens' syndrome: A case report of an atypical presentation in an elderly patient.
SAGE Open Med Case Rep
December 2024
Cardiology A Department, Ibn Sina University Hospital Center, Rabat, Morocco.
Traditionally reflecting critical stenosis of the proximal left anterior descending (LAD) artery, Wellens' syndrome (WS) is an electrocardiogram (ECG) pattern of biphasic or deeply inverted T waves in leads V2 and V3. This critical stenosis can progress to an extensive anterior myocardial infarction (MI) if early and appropriate management is not received promptly. The diagnosis of severe stenosis of the LAD coronary artery can be made by using electrocardiographic changes in Wellens' syndrome.
View Article and Find Full Text PDFWellen's syndrome caused by severe ostial stenosis of the left main coronary artery: a case report.
BMC Cardiovasc Disord
November 2024
Department of Cardiology, People's Hospital Affiliated to Chongqing Three Gorges Medical College, Chongqing, China.
Background: Wellen's syndrome may indicate severe stenosis or even occlusion of the proximal left anterior descending coronary artery. It may progress to acute myocardial infarction. Early recognition and an early invasive strategy are critical to avoiding impending myocardial injury.
View Article and Find Full Text PDFRecent advances in clinical practice: mastering the challenge-managing IBS symptoms in IBD.
Gut
November 2024
Gastroenterology and Hepatology, KU Leuven University Hospitals Leuven Gasthuisberg Campus Hospital Pharmacy, Leuven, Belgium
Article Synopsis
- * These IBS-like symptoms significantly reduce quality of life and lead to higher healthcare usage, making accurate diagnosis and treatment essential.
- * A comprehensive approach is recommended for treatment, addressing not only inflammation but also including evidence-based pharmacological options, lifestyle changes, and consideration of psychological factors to improve overall patient care.
From Wellens' syndrome to acute anterior myocardial infarction, what is required? Only time!
J Int Med Res
September 2024
Department of Ultrasound, Tianjin Huanhu Hospital, Tianjin, China.
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.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!