在左束支传导阻滞的情况下，Wellens综合征可能提示存在高度左前降支狭窄。

Wellens' syndrome can indicate high-grade LAD stenosis in case of left bundle branch block.

作者信息

Grautoff Steffen

机构信息

Emergency Department, Klinikum Herford, Schwarzenmoorstr. 70, 32049, Herford, Germany.

出版信息

Herzschrittmacherther Elektrophysiol. 2017 Mar;28(1):57-59. doi: 10.1007/s00399-017-0489-z. Epub 2017 Feb 9.

DOI:10.1007/s00399-017-0489-z

PMID:28185080

Abstract

Diagnosing acute myocardial infarction (AMI) in left bundle branch block (LBBB) is challenging. Modified Sgarbossa criteria are known to help detect AMI in LBBB. This is a report about an electrocardiogram (ECG) with Wellens' signs in combination with a pre-existing LBBB. The ECG of a patient with fluctuating chest pain showed very subtle and one day later more obvious Wellens'signs. A left anterior descending artery (LAD) stenosis was diagnosed and successfully treated. Wellens' syndrome can be diagnosed in a case of LBBB and help detect a high-grade LAD stenosis even if modified Sgarbossa criteria are not met.

摘要

诊断左束支传导阻滞（LBBB）中的急性心肌梗死（AMI）具有挑战性。已知改良的Sgarbossa标准有助于检测LBBB中的AMI。这是一篇关于伴有Wellens征并合并既往LBBB的心电图（ECG）报告。一名胸痛症状波动的患者的心电图显示非常细微，一天后Wellens征更加明显。诊断为左前降支（LAD）狭窄并成功治疗。即使不符合改良的Sgarbossa标准，在LBBB病例中也可诊断出Wellens综合征，并有助于检测高度LAD狭窄。