Document Detail

Wellens syndrome associated with prominent anterior QRS forces: an expression of left septal fascicular block?
MedLine Citation:
PMID:  18649894     Owner:  NLM     Status:  MEDLINE    
Wellens syndrome is a clinical-electrocardiographic entity also referred to as left anterior descending (LAD) coronary T-wave syndrome or acute coronary T-wave syndrome. It is a complex of symptoms and signals indicating the existence of an undesirable condition secondary to critical high-grade proximal stenosis of the LAD coronary artery characterized by the association of prior history of acute coronary syndrome with little or no elevation of markers of myocardial damage (unstable angina) and characteristic electrocardiographic changes consistent with subepicardial anterior ischemic pattern (persistently symmetrical, deep negative and broad-based T waves) or plus-minus T waves with inversion of the terminal portion in the LAD coronary artery territory (V1 through V5 or V6). We present a case of a variant of Wellens syndrome that reveals association and, transitorily, the criteria described in literature for left septal fascicular block.
Andrés Ricardo Pérez Riera; Celso Ferreira; Celso Ferreira Filho; Sergio Dubner; Edgardo Schapachnik; Augusto H Uchida; Paulo Moffa; Li Zhang; Antoni Bayes de Luna
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-07-22
Journal Detail:
Title:  Journal of electrocardiology     Volume:  41     ISSN:  1532-8430     ISO Abbreviation:  J Electrocardiol     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-10-28     Completed Date:  2009-01-09     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  671-4     Citation Subset:  IM    
ABC Faculty of Medicine, Foundation of ABC, Santo André, São Paulo, Brazil.
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MeSH Terms
Acute Coronary Syndrome / diagnosis*
Bundle-Branch Block / diagnosis*
Coronary Stenosis / diagnosis*
Electrocardiography / methods*
Heart Septum*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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