We present a case with acute coronary syndrome and very unusual QRS widening in the acute phase. The case highlights that non-specific intraventricular conduction delay should be considered as a high risk ECG pattern predicting poor prognosis.
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Pseudo precordial ST-segment depression.
J Electrocardiol
June 2024
Department of Cardiology, Buda Hospital of the Hospitaller Order of St. John of God, Budapest, Hungary. Electronic address:
We present a case with acute coronary syndrome and very unusual QRS widening in the acute phase. The case highlights that non-specific intraventricular conduction delay should be considered as a high risk ECG pattern predicting poor prognosis.
View Article and Find Full Text PDFVariant of Wellen's syndrome in type 1 diabetic patient: A case report.
World J Cardiol
September 2023
Clinical Rotations, St Georges University, School of Medicine, True Blue 96038, Grenada.
Background: Wellen's syndrome is a form of acute coronary syndrome associated with proximal left anterior descending artery (LAD) stenosis and characteristic electrocardiograph (ECG) patterns in pain free state. The abnormal ECG pattern is classified into type A (biphasic T waves) and type B (deeply inverted T waves), based on the T wave pattern seen in the pericodial chest leads.
Case Summary: We present the case of a 37-year-old male with history of type 1 diabetes mellitus (T1DM), gastroparesis, mild peripheral artery disease and right toe cellulitis on IV antibiotics who presented to the emergency department with nausea, vomiting and abdominal pain for 3 d and as a result couldn't take his insulin.
Pseudo‑Wellens syndrome in an elderly female patient with pulmonary embolism: A case report.
Med Int (Lond)
March 2023
Department of Scientific Affairs, Smart Health Tower, Sulaimani, Kurdistan 46000, Iraq.
Pseudo-Wellens syndrome refers to any electrocardiogram (ECG) pattern that mimics Wellens syndrome with no critical left anterior descending (LAD) artery-associated coronary artery disease. The present study describes a rare case of pseudo-Wellens syndrome associated with pulmonary embolism. A female patient presented with chest tightness for 72 h.
View Article and Find Full Text PDFThe Role of Echocardiogram and Cardiac Rhythm Analysis for Early Detection of Cardiac Amyloidosis.
J Adv Pract Oncol
September 2022
The University of Texas MD Anderson Cancer Center, Houston, Texas.
Purpose: The purpose of this integrative review was to establish the role of cardiac rhythm analysis (electrocardiogram; EKG) and echocardiogram in increasing clinical suspicion for and earlier diagnosis of cardiac amyloidosis.
Methods: A literature review was conducted using PubMed and Scopus databases. Dates searched were from January 2017 to May 2021.
Entire process of electrocardiogram recording of Wellens syndrome: A case report.
World J Clin Cases
July 2022
Department of Cardiovascular Disease, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510000, Guangdong Province, China.
Background: Wellens syndrome is an electrocardiogram (ECG) pattern seen in high-risk patients with unstable angina pectoris. It is characterized by inverted or biphasic T-waves that change into positive or pseudo-normalized waves at precordial leads when the patient experiences an angina attack; however, the mechanism for this condition remains unclear.
Case Summary: A 47-year-old male patient experienced repeated, unprovoked episodes of chest pain for > 20 d, with worsening during the previous day.
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