title: A Silent Alarm at Occupational Evaluation Two Months after a Normal Painful ECG: A Case of Wellens' syndrome.
abstract: We describe a case of a 42-year-old man, with a previous episode of angina and a normal ECG and serum cardiac markers, and a two months later finding of biphasic T wave in leads V2-V3 and deeply inverted T wave in V4-V5 at a asymptomatic occupational evaluation. This is a typical ECG pattern of Wellens' syndrome. A subsequent coronary angiography showed a critical stenosis of proximal left anterior descendent. We underline the careful value of prolonged observation in chest pain unit and repetitive ECG evaluation also during pain-free period after an angina episode, to exclude an earlier T wave pseudonormalization.
authors.affiliation: Department of Cardiology, Casa Sollievo della Sofferenza Hospital, San Giovanni Rondo, Foggia, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Di Stolfo
authors.affiliation: Department of Cardiology, Casa Sollievo della Sofferenza Hospital, San Giovanni Rondo, Foggia, Italy.
authors.forename: Sandra
authors.initials: S
authors.lastname: Mastroianno
authors.affiliation: Department of Cardiology, Casa Sollievo della Sofferenza Hospital, San Giovanni Rondo, Foggia, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: De Luca
authors.affiliation: Department of Cardiology, Casa Sollievo della Sofferenza Hospital, San Giovanni Rondo, Foggia, Italy.
authors.forename: Domenico Rosario
authors.initials: DR
authors.lastname: Potenza
authors.affiliation: Department of Cardiology, Casa Sollievo della Sofferenza Hospital, San Giovanni Rondo, Foggia, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Marchese
authors.affiliation: Department of Cardiology, Casa Sollievo della Sofferenza Hospital, San Giovanni Rondo, Foggia, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Vigna
authors.affiliation: Department of Cardiology, Casa Sollievo della Sofferenza Hospital, San Giovanni Rondo, Foggia, Italy.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Fanelli