Pseudo- Wellens syndrome?

Abstract

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.

Keywords

• wellens syndrome, non-st-segment elevation acute coronary syndrome, electrocardiogram.