Pseudo- Wellens syndrome?
Introduction: Wellens syndrome is characterized by an electrocardiographic pattern with negative T waves in the right preocordial leads associated with a severe lesion of the anterior descending artery. However, other causes could provoke this electrocardiographic pattern. Objective: to provide cons...
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| Main Authors: | , , , |
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| Format: | Book |
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Universidad de Ciencias Médicas de La Habana,
2024-03-01T00:00:00Z.
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| Summary: | Introduction: Wellens syndrome is characterized by an electrocardiographic pattern with negative T waves in the right preocordial leads associated with a severe lesion of the anterior descending artery. However, other causes could provoke this electrocardiographic pattern. Objective: to provide considerations on the pathophysiology of Wellens syndrome in a particular case. Case Report: A 66-year-old patient with a personal history of being a smoker came to the emergency department of our hospital with an episode of chest pain. The electrocardiogram showed a Wellen´s type 1 pattern; coronary angiography was performed, showing a severe lesion in the first diagonal artery.. Conclusions: Regardless of the numerous advances in the identification of risk factors, diagnosis and treatment of ischemic heart disease, the management of patients with this syndrome has not been standardized. A group of patients only receive pharmacological treatment while others are revascularized by percutaneous intervention. |
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| Item Description: | 1729-519X |