[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 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.
Orzałkiewicz
Zbigniew
Z
Zakład Hemodynamiki, Oddział Kardiologii, Wielospecjalistyczny Szpital Miejski, 85-862 Bydgoszcz, ul. Szpitalna 19. kardiologia.inwazyjna@szpitalbydg.pl
Polak
Gwidon
G
Przybył
Romuald
R
Ukleja-Adamowicz
Małgorzata
M
Hoffman
Andrzej
A
D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D004562:Electrocardiography; D004638:Emergency Treatment; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D013318:Stroke Volume / Q000502:physiology*; D013577:Syndrome