Stemi Like in 3 Entities: Wellens Syndrome, De Winter Syndrome and Acute Coronary Syndrome with ST Elevation in AVR (About Three Cases)
Published: 2021-04-07
Page: 65-71
Issue: 2021 - Volume 4 [Issue 1]
Nguadi Jaouad *
Rythmology Department, Heart center, Mohammed V Military Hospital, Rabat, Morocco.
Meryem Bennani
Rythmology Department, Heart center, Mohammed V Military Hospital, Rabat, Morocco.
Abdelilah Benelmekki
Rythmology Department, Heart center, Mohammed V Military Hospital, Rabat, Morocco.
Hicham Bouzelmat
Rythmology Department, Heart center, Mohammed V Military Hospital, Rabat, Morocco.
Ali Chaib
Bouthayna Messmoudi
Department of Non Invasive Cardiac Explorations, Mohammed V Military Hospital, Rabat, Morocco.
Achraf Zaimi
Department of Non Invasive Cardiac Explorations, Mohammed V Military Hospital, Rabat, Morocco.
Iliyasse Asfalou
Department of Non Invasive Cardiac Explorations, Mohammed V Military Hospital, Rabat, Morocco.
Sofia Kaddaf
Intensive Care Unit, Heart Center, Mohammed V Military Hospital, Rabat, Morocco.
Zakaria Lahlafi
Intensive Care Unit, Heart Center, Mohammed V Military Hospital, Rabat, Morocco.
Zouhair Lakhal
Intensive Care Unit, Heart Center, Mohammed V Military Hospital, Rabat, Morocco.
Rim Mesnaoui
Clinical Cardiology, Heart Center, Mohammed V Military Hospital, Rabat, Morocco.
Hind Regragui
Clinical Cardiology, Heart Center, Mohammed V Military Hospital, Rabat, Morocco.
Najat Mouine
Clinical Cardiology, Heart Center, Mohammed V Military Hospital, Rabat, Morocco.
Aatif Benyass
Department of Heart Center, Mohammed V Military Hospital, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
In this Case Report session it is describes three cases of patients with the syndrome that are rare but very serious : the Wellens syndrome, ST elevation in aVr, and the De Winter syndrome. The equivalent syndromes of coronary syndromes with ST elevation don’t present the conventional electrical aspects of ST elevation but have the same pathophysiology and a complete occlusion of a coronaryartery. We report the case of a 70 year-old man whois an active smoker since 50 years, non hypertensive and non diabetic. The second case reported A 68-year-old man, who was a smoker, with dyslipidemia treated by statins for 10 years. Third case describes a 34 year-old woman who is treated for a Takayasu desease. The patients with STEMI like are those patients who do not presentwithclassical ECG changes but have actutelyoclludedcoronaryartery.
Keywords: Stemi like, wellens syndrome, De winter T waves, ST elevation in a VR