A Silent Alarm at Occupational Evaluation Two Months after a Normal Painful ECG: A Case of Wellens' syndrome. (14th April 2015)

• Record Type: Journal Article
• Authors: Di Stolfo, Giuseppe; Mastroianno, Sandra; De Luca, Giovanni; Potenza, Domenico Rosario; Marchese, Nicola; Vigna, Carlo; Fanelli, Raffaele
• Other Names: Movahed Mohammad R. Academic Editor.
• Is Part Of: Case reports in cardiology. Volume 2015(2015)
• Publication Date: 2015-04-14
• Subjects: Cardiology -- Periodicals; 616.12005
• DOI: 10.1155/2015/819205
• Languages: English
• ISSNs: 2090-6404

Abstract

Abstract : We describe a case of a 42-year-old man, with a previous episode of angina and a normal ECG and serum cardiac markers, and a two months later finding of biphasic T wave in leads V2-V3 and deeply inverted T wave in V4-V5 at a asymptomatic occupational evaluation. This is a typical ECG pattern of Wellens' syndrome. A subsequent coronary angiography showed a critical stenosis of proximal left anterior descendent. We underline the careful value of prolonged observation in chest pain unit and repetitive ECG evaluation also during pain-free period after an angina episode, to exclude an earlier T wave pseudonormalization.