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首页> 外文期刊>Journal of International Medical Research >Two case reports of Wellens’ syndrome
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Two case reports of Wellens’ syndrome

机译：韦伦氏综合症的两个病例报告

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Wellens’ syndrome is characterised by particular changes in electrocardiogram (ECG) precordial lead T-waves accompanied by proximal stenosis of the left anterior descending (LAD) artery. Two cases of electrocardiographic changes associated with Wellens’ syndrome are presented here. Case 1, a 55-year-old female, was transferred to the First Affiliated Hospital of Xi’an Jiaotong University with intermittent and laborious angina pectoris. Her first ECG on admission revealed T-wave inversion in leads V1–V3 and biphasic T-waves in V4. Case 2, an 85-year-old female, presented with dyspnoea and paroxysmal chest pain. Her admission ECG displayed asymmetrical T-wave inversion in leads V1–V3, I, and aVL, and depressed ST segments in leads V2–V5. In this patient, drug-eluting stents were placed on a LAD artery lesion and right coronary artery occlusion. The potential of ECGs to aid decision-making in severe myocardial infarction is straightforward, particularly in patients with characteristic ECGs, however, Wellens’ syndrome has a wide spectrum of clinical manifestations and the ECG patterns may manifest itself persistently over a period of weeks. Therefore, ECG parameters should be combined with coronary angiography to confirm the presence of lesions.
机译：韦伦氏综合症的特征是心电图（ECG）心前导导T波伴有左前降支（LAD）动脉近端狭窄。这里介绍了两例与Wellens综合征相关的心电图改变。病例1，一名55岁的女性，因间歇性且费力的心绞痛被转移到西安交通大学第一附属医院。她首次入院时的心电图显示V1-V3导联的T波倒置和V4的双相T波。案例2，一位85岁的女性，表现为呼吸困难和阵发性胸痛。她的入院心电图显示V1-V3，I和aVL导线不对称的T波倒置，V2-V5导线中的ST段压低。在该患者中，将药物洗脱支架放置在LAD动脉病变和右冠状动脉闭塞上。心电图有助于严重心肌梗死决策的潜力是显而易见的，特别是对于具有特征性心电图的患者，但是，韦伦氏综合症具有广泛的临床表现，并且心电图模式可能会在数周内持续显示。因此，应将ECG参数与冠状动脉造影相结合，以确认病变的存在。

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