Presentación atípica del patrón electrocardiográfico de Wellens asociado con lesión de bifurcación coronaria

Raul Alca-Clares; Henry A. Anchante-Hernández; Jorge Salinas-Arce; Luis Mejía Vargas Machuca; Félix A. Medina-Palomino

doi:10.47487/apcyccv.v2i3.145

Authors

Raul Alca-Clares Hospital Cayetano Heredia. Lima, Perú. https://orcid.org/0000-0002-8446-7681
Henry A. Anchante-Hernandez Servicio de Cardiología del Hospital Cayetano Heredia. Lima, Perú; Universidad Peruana Cayetano Heredia. Lima, Perú https://orcid.org/0000-0001-9318-4918
Jorge Salinas-Arce Servicio de Cardiología, Clínica Delgado. Lima, Perú. https://orcid.org/0000-0003-3045-3257
Luis Mejia Vargas Machuca Servicio de Cardiología, Instituto Nacional Cardiovascular. Lima, Perú. https://orcid.org/0000-0001-5185-9470
Felix A. Medina-Palomino Servicio de Cardiología del Hospital Cayetano Heredia; Lima, Perú; Universidad Peruana Cayetano Heredia. Lima, Perú. https://orcid.org/0000-0002-5854-1032

DOI:

https://doi.org/10.47487/apcyccv.v2i3.145

Keywords:

Myocardial infarction, Electrocardiography, Myocardial reperfusion

Abstract

We present a patient who was admitted to the emergency room due to unstable angina, with an initial electrocardiogram without signs of acute ischemia and a favorable clinical evolution. During hospitalization, she developed the Wellens electrocardiographic pattern, noted in the literature as an infrequent, poorly identified finding and with an ominous prognosis. This electrocardiographic pattern is described in precordial derivatives, suggesting a significant lesion of a principal epicardial artery; our patient had similar electrocardiographic alterations in the high lateral leads, in whom the coronary bifurcation lesion not previously described in this scenario was confirmed.

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