[Pseudo-Wellens syndrome in a patient with vasospastic angina].
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.
Oddział Internistyczno-Kardiologiczny, Szpital im. H. Klimontowicza, Gorlice. kukla_piotr@poczta.onet.pl
Piotr
P
Kukla
Renata
R
Korpak-Wysocka
Jacek
J
Dragan
Dawid
D
Giszterowicz
Wojciech
W
Dobrowolski
Marcin
M
Czamara
Dariusz
D
Dudek
Leszek
L
Bryniarski
D054058:Acute Coronary Syndrome / Q000150:complications / Q000503:physiopathology*; D000788:Angina Pectoris, Variant / Q000209:etiology / Q000503:physiopathology*; D001145:Arrhythmias, Cardiac / Q000209:etiology* / Q000503:physiopathology; D003329:Coronary Vasospasm / Q000150:complications / Q000503:physiopathology*; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000503:physiopathology*; D013577:Syndrome