American Journal of Cardiology
American Journal of Cardiology
5 years ago

Painless Mini-Wellens Sign 5 Minutes after Exercise in a Man with Previously Undiagnosed Total Occlusion of the Left Anterior Descending and Right Coronary Arteries

A 60-year-old man with no coronary artery history and a normal resting electrocardiogram came to the hospital with his second stroke and underwent a treadmill exercise test before carotid endarterectomy. He had no chest pain and stopped because of leg pain. Five minutes after exercise he developed terminal T-wave inversion in leads V3 and V4 that lasted 7 minutes. The T-wave pattern resembled the Wellens pattern that has usually been seen after intense preinfarction rest pain and has usually lasted hours, days, or even weeks. Coronary arteriography showed complete occlusion of the left anterior descending and right coronary arteries.

Publisher URL: www.sciencedirect.com/science

DOI: S0002914917314029

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