[en] We report the case of a 54-year-old patient admitted to an emergency department, because of a thoracic pain suspicious for angina pectoris. Although the patient had become asymptomatic on admission, his electrocardiogram presented abnormalities (biphasic T waves in V1 to V4 ) which prompted a diagnosis of unstable angina.This electrocardiophic pattern is known as Wellens' syndrome.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
JAVILLIER, Benjamin ; Centre Hospitalier Universitaire de Liège - CHU > Département d'Anesthésie et réanimation > Service d'anesthésie - réanimation
Jacquet, C.
Legrand, Victor ; Université de Liège - ULiège > Département des sciences cliniques > Cardiologie
Language :
French
Title :
Une entite electrocardiographique peu connue, mais pourtant importante aux urgences ... le syndrome de Wellens.
Alternative titles :
[en] Wellens syndrome: a poorly known yet significant electrocardiographic entity
Publication date :
2012
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Gerson MC, Phillips JF, Morris SN, MCHenry PL. - Exercise-induced U-wave inversion as a marker of stenosis of the left anterior descending coronary artery. Circulation, 1979, 60, 1014-1020. (Pubitemid 10195182)
Gerson MC, McHenry PL. - Resting U wave inversion as a maker of stenosis of the left anterior descending coronary artery. Am J Med, 1980, 69, 545-550. (Pubitemid 10018709)
De Zwann CBF, Wellens HJ. - Characteristic electrocardiographic pattern indicating a critical stenosis higt in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Am Heart J, 1982, 103, 730-736. (Pubitemid 13139067)
Wellens HJ. - Bishop lecture. The electrocardiogram 80 years after Einthoven. J Am Coll Cardiol, 1986, 7, 484- 491.
De Zwann C, Bar FW, Janssen JH, et al. - Angiographic and clinical characteristics of patients with unstable angina showing an ECG pattern indicating critical narrowing of the proximal LAD coronary artery. Am Heart J, 1989, 117, 657-665. (Pubitemid 19078165)
Conover MB. - Understanding electrocardiography. Mosby. Year Book. Inc St Louis, 1996, 344-361.
De Zwann C, Bär WHM, Wellens HJJ. - Characteristic electrocardiographic pattern indicating a critical stenosis high in the left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Am Heart J, 1982, 103, 730-736. (Pubitemid 13139067)
Braunwald E, Antman EM, Beasley JW, et al. - ACC/AHA guidelines for the management of patients with unstable angina and non ST segment elevation myocardial infarction. J Am Coll Cardiol, 2000, 36, 970-1062.
