Vol 69, No 1 (2011)
Electrocardiogram of the month
Published online: 2011-01-25

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Pseudo-Wellens syndrome in a patient with vasospastic angina

Piotr Kukla, Renata Korpak-Wysocka, Jacek Dragan, Dawid Giszterowicz, Wojciech Dobrowolski, Marcin Czamara, Dariusz Dudek, Leszek Bryniarski
DOI: 10.33963/v.kp.79561
Kardiol Pol 2011;69(1):79-81.

Abstract

Wellens syndrome is characterised by negative or biphasic T waves in V2-V4 leads and critical stenosis of proximal part of the left descending coronary artery. These ECG changes without atherosclerotic changes in coronary angiography, i.e. coronary artery spasm are called pseudo-Wellens syndrome. We describe a patient with acute coronary syndrome and pseudo-Wellens syndrome as a cause of vasospastic angina. These ECG abnormalities need differentiation with acute pulmonary embolism.
Kardiol Pol 2011; 69, 1: 79-81

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Polish Heart Journal (Kardiologia Polska)