Vol 63, No 12 (2005)
Other
Published online: 2005-12-14

open access

Page views 323
Article views/downloads 4177
Get Citation

Connect on Social Media

Connect on Social Media

Electrocardiogran of the month
Wellens’s syndrome – the ominous T-waves

Zbigniew Orzałkiewicz, Gwidon Polak, Romuald Przybył, Małgorzata Ukleja-Adamowicz, Andrzej Hoffmann
DOI: 10.33963/v.kp.81730
Kardiol Pol 2005;63(12):656-661.

Abstract

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.

Article available in PDF format

View PDF (Polish) Download PDF file



Polish Heart Journal (Kardiologia Polska)