Meyers H Pendell, Smith Stephen W
Stony Brook University Hospital, Department of Emergency Medicine, 101 Nicolls Road, Stony Brook, NY 11794, United States; Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, United States.
Am J Emerg Med. 2017 Jun;35(6):938.e5-938.e7. doi: 10.1016/j.ajem.2016.12.059. Epub 2016 Dec 24.
We illustrate the case a patient with left bundle branch block (LBBB) and electrocardiogram (ECG) changes consistent with those described in Wellens' syndrome. The characteristic ECG findings of Wellens' syndrome identify patients who have a particularly high rate of important coronary events in the near future, however these findings have previously been described only in the setting of normal conduction. A review of Wellens' syndrome, its criteria and pathophysiology, and its proposed appearance in the setting of LBBB is presented.
我们举例说明一位患有左束支传导阻滞（LBBB）且心电图（ECG）改变与Wellens综合征中所描述的改变一致的患者。Wellens综合征的特征性心电图表现可识别出在不久的将来发生重要冠状动脉事件几率特别高的患者，然而这些表现此前仅在正常传导的情况下被描述过。本文将对Wellens综合征、其诊断标准和病理生理学，以及其在LBBB情况下的推测表现进行综述。
