A Silent Alarm at Occupational Evaluation Two Months after a Normal Painful ECG: A Case of Wellens' syndrome

We describe a case of a 42-year-old man, with a previous episode of angina and a normal ECG and serum cardiac markers, and a two months later finding of biphasic T wave in leads V2-V3 and deeply inverted T wave in V4-V5 at a asymptomatic occupational evaluation. This is a typical ECG pattern of Well...

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Autores principales: Di Stolfo, Giuseppe, Mastroianno, Sandra, De Luca, Giovanni, Potenza, Domenico Rosario, Marchese, Nicola, Vigna, Carlo, Fanelli, Raffaele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411459/
https://www.ncbi.nlm.nih.gov/pubmed/25954534
http://dx.doi.org/10.1155/2015/819205
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author Di Stolfo, Giuseppe
Mastroianno, Sandra
De Luca, Giovanni
Potenza, Domenico Rosario
Marchese, Nicola
Vigna, Carlo
Fanelli, Raffaele
author_facet Di Stolfo, Giuseppe
Mastroianno, Sandra
De Luca, Giovanni
Potenza, Domenico Rosario
Marchese, Nicola
Vigna, Carlo
Fanelli, Raffaele
author_sort Di Stolfo, Giuseppe
collection PubMed
description We describe a case of a 42-year-old man, with a previous episode of angina and a normal ECG and serum cardiac markers, and a two months later finding of biphasic T wave in leads V2-V3 and deeply inverted T wave in V4-V5 at a asymptomatic occupational evaluation. This is a typical ECG pattern of Wellens' syndrome. A subsequent coronary angiography showed a critical stenosis of proximal left anterior descendent. We underline the careful value of prolonged observation in chest pain unit and repetitive ECG evaluation also during pain-free period after an angina episode, to exclude an earlier T wave pseudonormalization.
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spelling pubmed-44114592015-05-07 A Silent Alarm at Occupational Evaluation Two Months after a Normal Painful ECG: A Case of Wellens' syndrome Di Stolfo, Giuseppe Mastroianno, Sandra De Luca, Giovanni Potenza, Domenico Rosario Marchese, Nicola Vigna, Carlo Fanelli, Raffaele Case Rep Cardiol Case Report We describe a case of a 42-year-old man, with a previous episode of angina and a normal ECG and serum cardiac markers, and a two months later finding of biphasic T wave in leads V2-V3 and deeply inverted T wave in V4-V5 at a asymptomatic occupational evaluation. This is a typical ECG pattern of Wellens' syndrome. A subsequent coronary angiography showed a critical stenosis of proximal left anterior descendent. We underline the careful value of prolonged observation in chest pain unit and repetitive ECG evaluation also during pain-free period after an angina episode, to exclude an earlier T wave pseudonormalization. Hindawi Publishing Corporation 2015 2015-04-14 /pmc/articles/PMC4411459/ /pubmed/25954534 http://dx.doi.org/10.1155/2015/819205 Text en Copyright © 2015 Giuseppe Di Stolfo et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Di Stolfo, Giuseppe
Mastroianno, Sandra
De Luca, Giovanni
Potenza, Domenico Rosario
Marchese, Nicola
Vigna, Carlo
Fanelli, Raffaele
A Silent Alarm at Occupational Evaluation Two Months after a Normal Painful ECG: A Case of Wellens' syndrome
title A Silent Alarm at Occupational Evaluation Two Months after a Normal Painful ECG: A Case of Wellens' syndrome
title_full A Silent Alarm at Occupational Evaluation Two Months after a Normal Painful ECG: A Case of Wellens' syndrome
title_fullStr A Silent Alarm at Occupational Evaluation Two Months after a Normal Painful ECG: A Case of Wellens' syndrome
title_full_unstemmed A Silent Alarm at Occupational Evaluation Two Months after a Normal Painful ECG: A Case of Wellens' syndrome
title_short A Silent Alarm at Occupational Evaluation Two Months after a Normal Painful ECG: A Case of Wellens' syndrome
title_sort silent alarm at occupational evaluation two months after a normal painful ecg: a case of wellens' syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411459/
https://www.ncbi.nlm.nih.gov/pubmed/25954534
http://dx.doi.org/10.1155/2015/819205
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