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- W4239205657 abstract "We read with interest the article by Tandy et al 1 Tandy TK Bottomy DP Lewis JG Ann Emerg Med. 1999; 33: 347-351 Abstract Full Text Full Text PDF PubMed Scopus (68) Google Scholar (article # 96041) regarding Wellens’ syndrome. We agree that this syndrome should be recognized by every emergency physician for accurate identification of severe ischemic cardiopathy. In contrast with what was written in the article by Tandy et al, we recently had a case where biphasic pattern of T wave was present in the inferior leads (D2, D3, avF) with occlusion on the circumflex artery and not on the left anterior coronary artery as reported in the typical Wellens’ syndrome. A 71-year-old man presented to the emergency department during the night complaining of intermittent epigastric pain that occurred at rest. He had normal findings on physical examination, and cardiac enzyme determination at admission was in the normal range. The first ECG (during pain) was normal. Another ECG obtained 4 hours after admission (without pain) showed an odd T-wave pattern, which was biphasic in leads D2, D3, avF and inverted T wave in lead V6 (Figure). The patient still had intermittent pain. Twelve hours after admission, the serum troponin level was increased to 187 ng/mL and the creatine phosphokinase (CPK) concentration was 1,380 IU/L. Coronary angiography confirmed the presence of one proximal occlusion of the circumflex artery. As questioned in the discussion by the authors, this case could be the first description of biphasic Wellens’ waves with other coronary lesions than left anterior." @default.
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- W4239205657 date "1999-11-01" @default.
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- W4239205657 title "Wellens’ Syndrome" @default.
- W4239205657 doi "https://doi.org/10.1016/s0196-0644(99)70178-2" @default.
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