Abstract

ALDANA VARELA, Oswaldo et al. Wellens’ syndrome: report and review of a case. Cardiovasc. metab. sci [online]. 2020, vol.31, n.2, pp.53-58.  Epub June 14, 2024. ISSN 2954-3835.  https://doi.org/10.35366/94774.

Wellens’ syndrome is a clinical entity characterized by an important occlusion of the left anterior descending artery (10-15% of incidence) in more than the 80% of the cases in the proximal segment, that is diagnosed with an electrocardiogram with the presence of precordial T wave inversion (V1-V5) in the 76% of the cases (type B) and in the 24% of the cases in V2-V3 leads (type 1). We present a patient evaluated in the emergency department for intermittent chest pain and T-wave inversion of the Wellens syndrome type B pattern, who was treated with percutaneous coronary intervention where a critical lesion was demonstrated in the medial anterior descending. This case shows how timely diagnosis prevents progression to extensive anterior acute myocardial infarction.

Keywords : Wellens syndrome; severe stenosis; percutaneous coronary intervention; stent; acute myocardial infarction.

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