Vol 63, No 12 (2005)
Other
Published online: 2005-12-14
Electrocardiogran of the month
Wellens’s syndrome – the ominous T-waves
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.
Keywords: Wellens’s syndromenegative t-wavesnon-ST-segment elevationacute coronary syndrome