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Medicina interna de México

versión impresa ISSN 0186-4866

Resumen

VERGARA-ORDUNA, Fernando Iván et al. Wellens’ syndrome, clinical equivalent of critical coronary stenosis. Med. interna Méx. [online]. 2018, vol.34, n.4, pp.658-661. ISSN 0186-4866.  http://dx.doi.org/10.24245/mim.v34i4.1887.

Acute myocardial infarction with ST elevation is an urgent indication for cardiac catheterization. Wellens’ syndrome is a persistent reversal of the T wave in leads V2 and V3 with clinical presence compatible with angina; the evidence of this syndrome indicates the critical occlusion of the anterior descending coronary artery, with cardiac catheterization being the treatment of choice. We present the clinical case of a patient with cardiovascular risk factors, with evidence of Wellens’ syndrome type B. Recognition and proper decision-making are critical in these circumstances.

Palabras llave : Acute myocardial infarction; Cardiac catheterization; Electrocardio-graphy.

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