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Wellens' syndrome: a close call.

Nneka Udechukwu1, Pragya Shrestha1, Muhammad Zeeshan Khan1

  • 1Internal Medicine, Reading Hospital and Medical Center, West Reading, Pennsylvania, USA.

BMJ Case Reports
|June 23, 2018
PubMed
Summary
This summary is machine-generated.

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Wellens' syndrome, characterized by specific ECG changes, indicates critical coronary artery blockage. Early cardiac catheterization is crucial for timely intervention and preventing severe cardiovascular events.

Area of Science:

  • Cardiology
  • Diagnostic Electrocardiography
  • Interventional Cardiology

Background:

  • Anginal chest pain is a common presentation in emergency departments.
  • Electrocardiography (ECG) is a vital tool for diagnosing acute cardiac conditions.
  • Wellens' syndrome is a specific ECG pattern associated with proximal left anterior descending artery stenosis.

Observation:

  • A middle-aged male presented with classic anginal chest pain.
  • His ECG revealed deeply inverted T-waves, consistent with Wellens' syndrome.
  • Coronary angiography confirmed a critical 99% stenosis in the proximal left anterior descending artery.

Findings:

  • The patient's critical coronary artery stenosis was successfully treated with a drug-eluting stent.
  • The ECG findings served as a crucial indicator of underlying severe coronary artery disease.
Keywords:
cardiovascular medicineischaemic heart disease

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Implications:

  • Physicians must recognize Wellens' syndrome on ECG as a sign of impending myocardial infarction.
  • Prompt invasive cardiac catheterization is essential for patients presenting with Wellens' syndrome.
  • Early diagnosis and intervention can significantly improve outcomes in patients with critical coronary artery stenosis.