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Wellens综合征的深倒置和双相T波：一种不可遗忘的特征性心电图模式。

Deeply Inverted and Biphasic T-Waves of Wellens' Syndrome: A Characteristic Electrocardiographic Pattern Not To Forget.

作者信息

Ghumman Ghulam Mujtaba, Yarlagadda Swathi, Dogra Ratika, Salman Fnu

机构信息

Internal Medicine, St. Vincent Mercy Medical Center, Toledo, USA.

出版信息

Cureus. 2022 Feb 11;14(2):e22130. doi: 10.7759/cureus.22130. eCollection 2022 Feb.

DOI:10.7759/cureus.22130
PMID:35308768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8920814/
Abstract

Wellens' syndrome refers to specific electrocardiographic (ECG) abnormalities of deeply inverted T-waves in the precordial leads, mainly V1-V3, associated with critical stenosis of the proximal left anterior descending (LAD) coronary artery. Identifying this specific pattern on the electrocardiogram is important as emergent treatment can prevent life-threatening myocardial infarction. We present a case of Wellens' syndrome that had a combination of inverted and biphasic T-waves patterns and where timely identification of the abnormal ECG pattern by the emergency physician and prompt intervention by the cardiology team prevented the development of myocardial infarction and hence permanent damage to the heart.

摘要

Wellens综合征是指胸前导联（主要是V1-V3）出现深倒置T波的特定心电图异常，与左前降支近端严重狭窄有关。在心电图上识别这一特定模式很重要，因为紧急治疗可预防危及生命的心肌梗死。我们报告一例Wellens综合征病例，其具有倒置和双向T波模式，急诊科医生及时识别异常心电图模式以及心脏病团队的迅速干预预防了心肌梗死的发生，从而避免了心脏的永久性损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ddf/8920814/41e4a9801657/cureus-0014-00000022130-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ddf/8920814/39d8f01250f6/cureus-0014-00000022130-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ddf/8920814/4bff6333273f/cureus-0014-00000022130-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ddf/8920814/caba7a4f6e3a/cureus-0014-00000022130-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ddf/8920814/41e4a9801657/cureus-0014-00000022130-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ddf/8920814/39d8f01250f6/cureus-0014-00000022130-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ddf/8920814/4bff6333273f/cureus-0014-00000022130-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ddf/8920814/caba7a4f6e3a/cureus-0014-00000022130-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ddf/8920814/41e4a9801657/cureus-0014-00000022130-i04.jpg

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T-wave changes in patients with Wellens syndrome are associated with increased myocardial mechanical and electrical dispersion.Wellens综合征患者的T波改变与心肌机械和电离散增加有关。
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Electrocardiographic manifestations of Wellens' syndrome.Wellens综合征的心电图表现。
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Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction.因即将发生心肌梗死而入院的患者，其特征性心电图模式提示左前降支冠状动脉高位严重狭窄。
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Exercise-induced U-wave inversion as a marker of stenosis of the left anterior descending coronary artery.运动诱发的U波倒置作为左前降支冠状动脉狭窄的一个标志物。
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