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Case Reports
. 2008 Mar;31(3):133-4.
doi: 10.1002/clc.20222.

Wellens' syndrome or inverted U-waves?

Mohammad Reza Movahed  1
Affiliations
Case Reports

Wellens' syndrome or inverted U-waves?

Mohammad Reza Movahed. Clin Cardiol. 2008 Mar.

Abstract

This report describes an example of a patient with chest pain and classic electrocardiographic changes consistent with ischemia in the proximal left anterior descending coronary artery (LAD) territory. This electrocardiogram (ECG) abnormality is known as Wellens' syndrome. However, the same abnormality is also described as inverted U-waves. The significance of this abnormality and the controversy of describing this syndrome is reviewed and discussed.

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References

    1. Gerson MC, Phillips JF, Morris SN, McHenry PL: Exercise‐induced U‐wave inversion as a marker of stenosis of the left anterior descending coronary artery. Circulation 1979; 60: 1014–1020. - PubMed
    1. Gerson MC, McHenry PL: Resting U wave inversion as a marker of stenosis of the left anterior descending coronary artery. Am J Med 1980; 69: 545–550. - PubMed
    1. de Zwaan CBF, Wellens HJ: Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Am Heart J 1982; 103: 730–736. - PubMed
    1. Wellens HJ: Bishop lecture. The electrocardiogram 80 years after Einthoven. J Am Coll Cardiol 1986; 7: 484–491. - PubMed
    1. de Zwaan C, Bar FW, Janssen JH, Cheriex EC, Dassen WR, et al.: Angiographic and clinical characteristics of patients with unstable angina showing an ECG pattern indicating critical narrowing of the proximal LAD coronary artery. Am Heart J 1989; 117: 657–665. - PubMed

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