A Rare Case of Anterior Wall Combined With Inferior Wall Wellens Syndrome

ABSTRACT This article describes a woman who presented to the hospital with recurrent chest pain. The electrocardiogram revealed positive and negative biphasic T waves in the anterior and inferior leads, which subsequently deepened. Upon recurrence of chest pain, the T waves reverted to upright. Coro...

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Main Author: Lei Zhang
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Annals of Noninvasive Electrocardiology
Subjects:
Online Access:https://doi.org/10.1111/anec.70052
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author Lei Zhang
author_facet Lei Zhang
author_sort Lei Zhang
collection DOAJ
description ABSTRACT This article describes a woman who presented to the hospital with recurrent chest pain. The electrocardiogram revealed positive and negative biphasic T waves in the anterior and inferior leads, which subsequently deepened. Upon recurrence of chest pain, the T waves reverted to upright. Coronary angiography indicated the presence of three‐vessel coronary artery disease. The occurrence of Wellens' T wave sign in the precordial leads frequently suggests left anterior descending artery disease, while the presence of positive and negative biphasic T waves in the inferior wall leads may also indicate lesions in the right coronary artery or left circumflex artery.
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institution Kabale University
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publishDate 2025-01-01
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series Annals of Noninvasive Electrocardiology
spelling doaj-art-855ee0ca5ec54792a0172812c1e0f4632025-01-28T05:38:42ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2025-01-01301n/an/a10.1111/anec.70052A Rare Case of Anterior Wall Combined With Inferior Wall Wellens SyndromeLei Zhang0Department of Electrocardiogram, The First Affiliated Hospital Zhejiang University School of Medicine Hangzhou ChinaABSTRACT This article describes a woman who presented to the hospital with recurrent chest pain. The electrocardiogram revealed positive and negative biphasic T waves in the anterior and inferior leads, which subsequently deepened. Upon recurrence of chest pain, the T waves reverted to upright. Coronary angiography indicated the presence of three‐vessel coronary artery disease. The occurrence of Wellens' T wave sign in the precordial leads frequently suggests left anterior descending artery disease, while the presence of positive and negative biphasic T waves in the inferior wall leads may also indicate lesions in the right coronary artery or left circumflex artery.https://doi.org/10.1111/anec.70052electrocardiograminferior wallnon ST‐segment elevation myocardial infarctionWellens syndrome
spellingShingle Lei Zhang
A Rare Case of Anterior Wall Combined With Inferior Wall Wellens Syndrome
Annals of Noninvasive Electrocardiology
electrocardiogram
inferior wall
non ST‐segment elevation myocardial infarction
Wellens syndrome
title A Rare Case of Anterior Wall Combined With Inferior Wall Wellens Syndrome
title_full A Rare Case of Anterior Wall Combined With Inferior Wall Wellens Syndrome
title_fullStr A Rare Case of Anterior Wall Combined With Inferior Wall Wellens Syndrome
title_full_unstemmed A Rare Case of Anterior Wall Combined With Inferior Wall Wellens Syndrome
title_short A Rare Case of Anterior Wall Combined With Inferior Wall Wellens Syndrome
title_sort rare case of anterior wall combined with inferior wall wellens syndrome
topic electrocardiogram
inferior wall
non ST‐segment elevation myocardial infarction
Wellens syndrome
url https://doi.org/10.1111/anec.70052
work_keys_str_mv AT leizhang ararecaseofanteriorwallcombinedwithinferiorwallwellenssyndrome
AT leizhang rarecaseofanteriorwallcombinedwithinferiorwallwellenssyndrome