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Wellen's syndrome: Challenges in diagnosis
1(Corresponding author) Department of Medicine Sri Aurobindo Medical College and PG Institute Indore Ujjain Highway Indore, Madhya Pradesh India.
Wellen's syndrome, a pre-infarction stage of coronary artery disease, presents with specific ECG changes. Early identification and intervention are crucial for preventing myocardial infarction and improving patient outcomes.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Wellen's syndrome is a critical pre-infarction stage of coronary artery disease.
- It is characterized by specific clinical and electrocardiographic (ECG) findings in patients with myocardial ischemia.
Observation:
- This report details an unusual case of Wellen's syndrome in an elderly male presenting with recurrent angina.
- Characteristic ECG changes included T-wave inversion in precordial leads (V2-V6) during pain-free periods and upright T-waves with ST elevation in V1-V4 during pain episodes.
Findings:
- The patient exhibited positive cardiac enzymes, indicating myocardial injury.
- Coronary angiography revealed critical stenosis in the proximal left anterior descending artery.
Implications:
- Timely recognition and intervention for Wellen's syndrome are vital.
- Prompt management can prevent extensive myocardial infarction, reducing significant morbidity and mortality.
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