J Transcat Intervent.2022;30:eA20220007.
Wellens Syndrome: impending acute myocardial infarction
Miguel Bernardino Antunes Vicente
, Luís Mariano de Lima Domingos
, Afonso Victorino António Kapenda
, Elizabeth Luila Banzanga
, Tomás Carlos Méndez Peralta
DOI: 10.31160/JOTCI202230A20220007
ABSTRACT
Wellens syndrome was described by Zwaan, Bär and Wellens, in 1982. On the electrocardiogram, T wave morphological alterations are observed in precordial leads, suggesting severe proximal stenosis of the left anterior descending coronary artery and an imminent risk of acute myocardial infarction and/or sudden death, with slight or no alteration in serum troponin. Its early recognition and management with early myocardial reperfusion avoid unfavorable outcomes. Percutaneous coronary intervention and surgical myocardial revascularization are the most used strategies for treatment. The authors describe two cases of types A and B Wellens syndrome treated with different reperfusion strategies.
365
