Wellens’ Syndrome Depicted by Coronary CT Angiography

Drobni, Zsófia Dóra; Károlyi, Mihály; Heltai, Krisztina; Simon, András; Merkely, Béla; Maurovich-Horvát, Pál

doi:10.1515/jce-2016-0023

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Wellens’ Syndrome Depicted by Coronary CT Angiography

Journal of Cardiovascular Emergencies

Volume 2 (2016): Issue 4 (December 2016)

By: Zsófia Dóra Drobni, Mihály Károlyi, Krisztina Heltai, András Simon, Béla Merkely and Pál Maurovich-Horvát

Open Access

|Dec 2016

Abstract

Introduction: Wellens’ Syndrome is indicated by deeply inverted or biphasic T-waves in V2-V3 precordial leads without ST elevation or pathological Q waves, immediately following an episode of angina pectoris.

Case presentation: A case of Wellens’ syndrome depicted by coronary CT angiography (CTA) and invasive coronary angiography is reported.

Conclusion: Recognition of these ECG changes is important, due to the imminent danger of acute LAD occlusion. Patients with Wellens’ syndrome should undergo invasive coronary angiography without delay. Ischemia provocation tests (i.e. treadmill) are contraindicated in these patients.

References

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DOI: https://doi.org/10.1515/jce-2016-0023 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X

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Language: English

Page range: 185 - 187

Submitted on: Sep 10, 2016

Accepted on: Oct 16, 2016

Published on: Dec 30, 2016

Published by: Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

coronary CTA,

invasive angiography,

Wellens’ syndrome,

critical LAD occlusion

Related subjects:

Emergency medicine and intensive-care medicine,

Radiology

© 2016 Zsófia Dóra Drobni, Mihály Károlyi, Krisztina Heltai, András Simon, Béla Merkely, Pál Maurovich-Horvát, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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