Uncommon Variant of Wellens’ Syndrome: A Case Report and Review of Literature

  • Layal Mansour MD Lebanese University Faculty of Medical Sciences
  • Elie Chammas MD, FESC, FACC
  • Fida Charif MD
  • Mohamad Jihad Mansour
DOI: https://doi.org/10.18686/aem.v6i4.110
Keywords: Wellens’ syndrome, coronary artery disease, acute coronary syndrome, myocardial infarction

Abstract

A 48-year-old male was admitted to the emergency department because of intermittent chest pain of 2 days duration. At the time of examination, he was pain-free. An electrocardiogram (ECG) showed biphasic T waves in leads V2 to V6. Troponin-I level was negative. During his transfer to the cardiac catheterization laboratory, he had a short episode of chest pain. His ECG was normal. Despite the unusual extension of biphasic T waves to the lateral precordial leads, the condition was recognized as Wellens’ syndrome, which typically associates biphasic or deep symmetric T wave inversion in leads V2 and V3 during pain-free periods with a critical stenosis in the proximal left anterior descending artery. The syndrome is uncommon to medical practice but should be recognized immediately in the emergency department because it represents a pre-infarction stage and carries a high risk of mortality. 

Author Biography

Layal Mansour MD, Lebanese University Faculty of Medical Sciences
Internal Medicine Cardiology
Published
2017-12-29
Issue
Vol 6 No 4 (2017)
Section
Cases Report

Copyright (c) 2017 Mohamad Jihad Mansour

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