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韦伦综合征:一次险些误诊的情况。

Wellens' syndrome: a close call.

作者信息

Udechukwu Nneka, Shrestha Pragya, Khan Muhammad Zeeshan, Donato Anthony A

机构信息

Internal Medicine, Reading Hospital and Medical Center, West Reading, Pennsylvania, USA.

出版信息

BMJ Case Rep. 2018 Jun 21;2018:bcr-2018-225376. doi: 10.1136/bcr-2018-225376.

Abstract

We describe a case of a middle-aged man who presented to the emergency department with typical anginal chest pains and found to have new, deeply inverted T-waves on ECG consistent with Wellens' syndrome. Similar to the description by Wellens , a critical 99% stenosis of the proximal left anterior descending artery was indeed confirmed by coronary angiography and successfully treated with drug-eluting stent. It is very important that physicians recognise this ECG finding as a harbinger of a serious cardiovascular condition and the necessity for an early invasive cardiac catheterisation.

摘要

我们描述了一例中年男性病例,该患者因典型的心绞痛症状前往急诊科就诊,心电图检查发现新出现的、深倒置的T波,符合Wellens综合征。与Wellens所描述的情况相似,冠状动脉造影确实证实左前降支近端存在99%的严重狭窄,并成功植入药物洗脱支架进行治疗。医生认识到这种心电图表现是严重心血管疾病的先兆以及早期进行侵入性心脏导管插入术的必要性非常重要。

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本文引用的文献

3
Wellens' syndrome in a 24-year-old woman.一名24岁女性的Wellens综合征。
BMJ Case Rep. 2013 Apr 30;2013:bcr2013009323. doi: 10.1136/bcr-2013-009323.
4
Wellen's syndrome: An ominous EKG pattern.韦伦综合征:一种不祥的心电图模式。
J Emerg Trauma Shock. 2009 Sep;2(3):206-8. doi: 10.4103/0974-2700.55347.
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Electrocardiographic manifestations of Wellens' syndrome.Wellens综合征的心电图表现。
Am J Emerg Med. 2002 Nov;20(7):638-43. doi: 10.1053/ajem.2002.34800.

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