title: Dynamic T-wave inversions in the setting of left bundle branch block.
abstract: We illustrate the case a patient with left bundle branch block (LBBB) and electrocardiogram (ECG) changes consistent with those described in Wellens' syndrome. The characteristic ECG findings of Wellens' syndrome identify patients who have a particularly high rate of important coronary events in the near future, however these findings have previously been described only in the setting of normal conduction. A review of Wellens' syndrome, its criteria and pathophysiology, and its proposed appearance in the setting of LBBB is presented.
authors.affiliation: Stony Brook University Hospital, Department of Emergency Medicine, 101 Nicolls Road, Stony Brook, NY 11794, United States; Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, United States. Electronic address: harvey.p.meyers@vanderbilt.edu.
authors.forename: H Pendell
authors.initials: HP
authors.lastname: Meyers
authors.affiliation: Stony Brook University Hospital, Department of Emergency Medicine, 101 Nicolls Road, Stony Brook, NY 11794, United States; Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, United States. Electronic address: smith253@umn.edu.
authors.forename: Stephen W
authors.initials: SW
authors.lastname: Smith
mesh_terms: D000368:Aged; D002037:Bundle-Branch Block / Q000503:physiopathology*; D002294:Carcinoma, Squamous Cell / Q000628:therapy; D002637:Chest Pain / Q000209:etiology*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D004358:Drug Therapy; D004562:Electrocardiography; D006258:Head and Neck Neoplasms / Q000628:therapy; D006801:Humans; D008297:Male; D011878:Radiotherapy; D015607:Stents