Gordana Kamcheva Mihailova, Sasko Nikolov, Marijan Jovev, S. Jordanova
{"title":"CASE REPORT OF PSEUDO-WELLENS’ SYNDROME AND MYOCARDIAL BRIDGING IN A YOUNG WOMAN","authors":"Gordana Kamcheva Mihailova, Sasko Nikolov, Marijan Jovev, S. Jordanova","doi":"10.35120/kij5404597k","DOIUrl":null,"url":null,"abstract":"The clinical entity in which Wellens' electrocardiographic changes occur in normal coronary arteriesconfirmed by angiography is defined as Pseudo Wellens syndrome. Myocardial bridging is a condition wheremuscle fibers abnormally bridge the intramyocardial passage of an epicardial coronary artery, which subsequentlybecomes a tunneled pathway beneath them. It is most commonly found in the middle segment of the left anteriordescending artery (LAD) (70% to 90% of cases). It is recognized as the most common congenital coronary anomaly.Case report: A 49-year-old woman came to the emergency room because of tightness in her chest that she had a fewmonths ago, but today is more pronounced. After consultation, she was hospitalized at the cardiology department forfurther treatment and investigation. An electrocardiogram showed sinus rhythm with inverted T waves in precordialleads V2 to V5. She underwent distal transradial coronary angiography on the same day, which revealed mid-LADsegment systolic compression (10 mm) consistent with myocardial bypass.The clinician should be aware of MB as a potential cause of pseudo-Wellens syndrome and in the differentialdiagnosis of inverted T waves in a young subpopulation at presentation of acute coronary syndrome.","PeriodicalId":17821,"journal":{"name":"Knowledge International Journal","volume":"90 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Knowledge International Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35120/kij5404597k","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
The clinical entity in which Wellens' electrocardiographic changes occur in normal coronary arteriesconfirmed by angiography is defined as Pseudo Wellens syndrome. Myocardial bridging is a condition wheremuscle fibers abnormally bridge the intramyocardial passage of an epicardial coronary artery, which subsequentlybecomes a tunneled pathway beneath them. It is most commonly found in the middle segment of the left anteriordescending artery (LAD) (70% to 90% of cases). It is recognized as the most common congenital coronary anomaly.Case report: A 49-year-old woman came to the emergency room because of tightness in her chest that she had a fewmonths ago, but today is more pronounced. After consultation, she was hospitalized at the cardiology department forfurther treatment and investigation. An electrocardiogram showed sinus rhythm with inverted T waves in precordialleads V2 to V5. She underwent distal transradial coronary angiography on the same day, which revealed mid-LADsegment systolic compression (10 mm) consistent with myocardial bypass.The clinician should be aware of MB as a potential cause of pseudo-Wellens syndrome and in the differentialdiagnosis of inverted T waves in a young subpopulation at presentation of acute coronary syndrome.