A patient with chest pain and a high-risk ECG pattern: The Wellens' syndrome

Sven Baasen; Manuel Stern; Verena Veulemans; Florian Bönner; Malte Kelm; Lucas Busch

doi:10.1002/ccr3.7137

A patient with chest pain and a high-risk ECG pattern: The Wellens' syndrome

Clin Case Rep. 2023 Mar 29;11(4):e7137. doi: 10.1002/ccr3.7137. eCollection 2023 Apr.

Authors

Sven Baasen¹, Manuel Stern¹, Verena Veulemans¹, Florian Bönner¹, Malte Kelm^{1

2}, Lucas Busch¹

Affiliations

¹ Division of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University of Dusseldorf Dusseldorf Germany.
² Division of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty, Cardiovascular Research Institute Düsseldorf (CARID) University Duesseldorf Duesseldorf Germany.

Abstract

This case highlights the ECG interpretation in acute coronary syndrome absence from ST - elevation myocardial infarction. A patient with acute chest pain and biphasic T - waves or deep inverted T- waves in V2-V3 is at risk for myocardial infarction. Timely cardiological assessment and coronary angiography is required.

Keywords: T‐wave changes; Wellens' syndrome; angina pectoris; myocardial infarction.

Publication types

Case Reports