A Rare Presentation of a Rare Entity: Wellens Syndrome with Subtle Terminal T Wave Changes

Wellens syndrome is an electrocardiographic (ECG) pattern involving T waves in precordial leads that was first described in 1982 among a group of patients presenting with unstable angina suggestive of critical stenosis of the proximal left anterior descending (LAD) coronary. It is crucial for emerge...

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Detalles Bibliográficos
Autores principales: Arisha, Mohammed J., Hallak, Ahmad, Khan, Ahmad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766088/
https://www.ncbi.nlm.nih.gov/pubmed/31637062
http://dx.doi.org/10.1155/2019/1582030
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author Arisha, Mohammed J.
Hallak, Ahmad
Khan, Ahmad
author_facet Arisha, Mohammed J.
Hallak, Ahmad
Khan, Ahmad
author_sort Arisha, Mohammed J.
collection PubMed
description Wellens syndrome is an electrocardiographic (ECG) pattern involving T waves in precordial leads that was first described in 1982 among a group of patients presenting with unstable angina suggestive of critical stenosis of the proximal left anterior descending (LAD) coronary. It is crucial for emergency physicians and internists to be able to recognize these patterns, as they occur in the symptom-free periods and represent a pre-infarction state that needs early intervention. Type A, which is characterized by biphasic T waves, mainly in V2 and V3, poses a significant challenge to recognize the pattern, and failure to do so can lead to devastating outcome. We report a case of type A Wellens syndrome with subtle T wave changes that went unnoticed during the initial assessment and led to start off on a wrong foot.
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spelling pubmed-67660882019-10-21 A Rare Presentation of a Rare Entity: Wellens Syndrome with Subtle Terminal T Wave Changes Arisha, Mohammed J. Hallak, Ahmad Khan, Ahmad Case Rep Emerg Med Case Report Wellens syndrome is an electrocardiographic (ECG) pattern involving T waves in precordial leads that was first described in 1982 among a group of patients presenting with unstable angina suggestive of critical stenosis of the proximal left anterior descending (LAD) coronary. It is crucial for emergency physicians and internists to be able to recognize these patterns, as they occur in the symptom-free periods and represent a pre-infarction state that needs early intervention. Type A, which is characterized by biphasic T waves, mainly in V2 and V3, poses a significant challenge to recognize the pattern, and failure to do so can lead to devastating outcome. We report a case of type A Wellens syndrome with subtle T wave changes that went unnoticed during the initial assessment and led to start off on a wrong foot. Hindawi 2019-09-16 /pmc/articles/PMC6766088/ /pubmed/31637062 http://dx.doi.org/10.1155/2019/1582030 Text en Copyright © 2019 Mohammed J. Arisha et al. https://creativecommons.org/licenses/by/4.0/ 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
Arisha, Mohammed J.
Hallak, Ahmad
Khan, Ahmad
A Rare Presentation of a Rare Entity: Wellens Syndrome with Subtle Terminal T Wave Changes
title A Rare Presentation of a Rare Entity: Wellens Syndrome with Subtle Terminal T Wave Changes
title_full A Rare Presentation of a Rare Entity: Wellens Syndrome with Subtle Terminal T Wave Changes
title_fullStr A Rare Presentation of a Rare Entity: Wellens Syndrome with Subtle Terminal T Wave Changes
title_full_unstemmed A Rare Presentation of a Rare Entity: Wellens Syndrome with Subtle Terminal T Wave Changes
title_short A Rare Presentation of a Rare Entity: Wellens Syndrome with Subtle Terminal T Wave Changes
title_sort rare presentation of a rare entity: wellens syndrome with subtle terminal t wave changes
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766088/
https://www.ncbi.nlm.nih.gov/pubmed/31637062
http://dx.doi.org/10.1155/2019/1582030
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