Published on:
    Journal of Cardiovascular Disease Research, 2013; 4(1):51-54
    Clinical Case Reports Based Study | doi:10.1016/j.jcdr.2013.02.016

    A special case of Wellens’ syndrome

    Authors:

    Alimujiang Abulaiti*, Renaguli Aini, Hiarong Xu, Zejun Song

    Cardiology Department, Hospital of Armed Police Force of Xinjiang, No 669 South Nanchang Road, Urumqi, Xinjiang, China

    Abstract:

    Wellens’ syndrome is a pattern of electrocardiographic T-wave changes associated with critical stenosis of proximal left anterior descending artery (LAD). T-waves abnormalities were found in precordial leads, especially in V2-V3 during pain-free periods, and ECG obtained during episodes of pain demonstrates upright T-waves with possible elevated or isoelectric ST segments. Early recognition and appropriate intervention carries significant diagnostic and prognostic value. We reported a case of Wellens’ syndrome with different etiology and prognosis. Although the ECG showed typical T-wave changes in V2-V5 leads, patient’s coronary angiography revealed moderate stenosis in proximal LAD, and coronary artery spasm was suggested. Unlike the classic Wellens’ syndrome, which needs aggressive coronary intervention, our patient fared well with conservative medical therapy (diltiazem and nitrates) and showed favorable prognosis. Copyright  2013,

    Key words: Electrocardiography, Wellens syndrome, Coronary artery spasm.