Coronary Intensive Care Unit, Fundación Cardiovascular de Colombia, Floridablanca, Colombia.
School of Medicine, Universidad Industrial de Santander, Bucaramanga, Colombia.
J Electrocardiol. 2023 Nov-Dec;81:132-135. doi: 10.1016/j.jelectrocard.2023.08.016. Epub 2023 Sep 4.
The Wellens pattern is an electrocardiographic finding seen in patients with chest pain and atherosclerotic coronary artery disease and is described as a symmetrical T-wave inversion or biphasic T-wave inversion in precordial leads. The deep inversion of the precordial T wave is a sign associated with various etiologies, including left ventricular hypertrophy, vasospasm, and pulmonary embolism. We present the case of a patient who debuts with chest pain and electrocardiographic findings consistent with the Wellens and McGinn-White patterns, who was subsequently diagnosed with intermediate-risk pulmonary embolism after ruling out obstructive coronary artery disease. We discussed the differential diagnostic approach to T-wave inversion as a sign associated with high-risk conditions.
Wellens 图形是一种心电图表现，见于胸痛和动脉粥样硬化性冠状动脉疾病患者，描述为胸前导联对称 T 波倒置或双向 T 波倒置。胸前 T 波深倒置是与多种病因相关的征象，包括左心室肥厚、血管痉挛和肺栓塞。我们报告了一例胸痛患者，其心电图表现符合 Wellens 和 McGinn-White 图形，在排除阻塞性冠状动脉疾病后，随后诊断为中危肺栓塞。我们讨论了 T 波倒置作为与高危情况相关的征象的鉴别诊断方法。
