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Case Reports in Cardiology
Volume 2015 (2015), Article ID 819205, 3 pages
Case Report

A Silent Alarm at Occupational Evaluation Two Months after a Normal Painful ECG: A Case of Wellens’ syndrome

Department of Cardiology, Casa Sollievo della Sofferenza Hospital, San Giovanni Rondo, Foggia, Italy

Received 1 February 2015; Accepted 7 April 2015

Academic Editor: Mohammad R. Movahed

Copyright © 2015 Giuseppe Di Stolfo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We describe a case of a 42-year-old man, with a previous episode of angina and a normal ECG and serum cardiac markers, and a two months later finding of biphasic T wave in leads V2-V3 and deeply inverted T wave in V4-V5 at a asymptomatic occupational evaluation. This is a typical ECG pattern of Wellens’ syndrome. A subsequent coronary angiography showed a critical stenosis of proximal left anterior descendent. We underline the careful value of prolonged observation in chest pain unit and repetitive ECG evaluation also during pain-free period after an angina episode, to exclude an earlier T wave pseudonormalization.