Wellens's syndrome -- the ominous T-waves

We describe three patients with Wellens's syndrome: biphasic T-waves or deeply inverted T-waves in the precordial leads plus a history of acute coronary syndrome without serum marker abnormalities. Wellens's syndrome is due to critical stenosis of the proximal left anterior descending arte...

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Bibliographic Details
Published inKardiologia polska (1957) Vol. 63; no. 6; pp. 656 - 61; discussion 662
Main Authors Orzałkiewicz, Zbigniew, Polak, Gwidon, Przybył, Romuald, Ukleja-Adamowicz, Małgorzata, Hoffman, Andrzej
Format Journal Article
LanguagePolish
Published Poland 01.12.2005
Subjects
Coronary Stenosis - complications
Coronary Stenosis - diagnosis
Coronary Stenosis - physiopathology
Electrocardiography
Emergency Treatment
Humans
Male
Middle Aged
Myocardial Infarction - diagnosis
Myocardial Infarction - etiology
Myocardial Infarction - physiopathology
Stroke Volume - physiology
Syndrome
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Summary:We describe three patients with Wellens's syndrome: biphasic T-waves or deeply inverted T-waves in the precordial leads plus a history of acute coronary syndrome without serum marker abnormalities. Wellens's syndrome is due to critical stenosis of the proximal left anterior descending artery and there is a high risk for anterior wall myocardial infarction and/or sudden cardiac death within a few weeks. Early coronary angiography with subsequent PCI or CABG should be performed in these patients. The T-wave changes usually occur during a pain-free interval but resolve within 12 months after revascularisation.
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ISSN:0022-9032