[Wellens's syndrome -- the ominous T-waves].

Kardiol Pol · Dec 2005

Case Reports

[Wellens's syndrome -- the ominous T-waves].

We describe three patients with Wellens's syndrome: biphasic T-waves or deeply inverted T-waves in the precordial leads plus a history of acute coronary syndrome without serum marker abnormalities. Wellens's syndrome is due to critical stenosis of the proximal left anterior descending artery and there is a high risk for anterior wall myocardial infarction and/or sudden cardiac death within a few weeks. Early coronary angiography with subsequent PCI or CABG should be performed in these patients. The T-wave changes usually occur during a pain-free interval but resolve within 12 months after revascularisation.

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- Zbigniew Orzałkiewicz, Gwidon Polak, Romuald Przybył, Małgorzata Ukleja-Adamowicz, and Andrzej Hoffman.
- Zakład Hemodynamiki, Oddział Kardiologii, Wielospecjalistyczny Szpital Miejski, 85-862 Bydgoszcz, ul. Szpitalna 19. kardiologia.inwazyjna@szpitalbydg.pl
- Kardiol Pol. 2005 Dec 1;63(6):656-61; discussion 662.
AbstractWe describe three patients with Wellens's syndrome: biphasic T-waves or deeply inverted T-waves in the precordial leads plus a history of acute coronary syndrome without serum marker abnormalities. Wellens's syndrome is due to critical stenosis of the proximal left anterior descending artery and there is a high risk for anterior wall myocardial infarction and/or sudden cardiac death within a few weeks. Early coronary angiography with subsequent PCI or CABG should be performed in these patients. The T-wave changes usually occur during a pain-free interval but resolve within 12 months after revascularisation.

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[Wellens's syndrome -- the ominous T-waves].

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