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- Title
Wellens Syndrome without chest pain, is it possible?
- Authors
TORELLI, E.; SARDEO, F.; NUZZO, E.; CICCHINELLI, S.; PETRUCCI, M.; PIGNATARO, G.; COVINO, M.; FRANCESCHI, F.; CANDELLI, M.
- Abstract
OBJECTIVE: Wellens syndrome is a typical electrocardiographic and clinical pattern that correlates with a severe proximal stenosis of the left anterior descending artery (LAD). It is associated with previous angina, no or slightly increased cardiac markers, and two ECG patterns: diphasic T wave in V2-V3 (Type A) or deep negative T waves from V1 to V4 (type B). In this paper, we described two cases with asymptomatic Wellens patterns. PATIENTS AND METHODS: We describe two cases of Wellens syndrome ECG pattern that we observed in our Emergency Department not accompanied by chest pain or angina equivalents. RESULTS: Both patients presented significant stenosis of LAD at the coronary angiography. CONCLUSIONS: Asymptomatic patients presenting with Wellens ECG pattern should perform a coronary arteriography cause of the risk of a severe LAD stenosis. We need further studies to confirm if all "silent" Wellens syndromes deserve angiographic study.
- Subjects
CHEST pain; CORONARY artery stenosis; CORONARY vasospasm; CORONARY angiography; SYNDROMES; BRUGADA syndrome; HOSPITAL emergency services; ANGINA pectoris
- Publication
European Review for Medical & Pharmacological Sciences, 2020, Vol 24, Issue 14, p7718
- ISSN
1128-3602
- Publication type
Article