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.
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E. Torelli, F. Sardeo, E. Nuzzo, S. Cicchinelli, M. Petrucci, G. Pignataro, M. Covino, F. Franceschi, M. Candelli
Wellens Syndrome without chest pain, is it possible?
Eur Rev Med Pharmacol Sci
Vol. 24 - N. 14