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Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
Published on: September 19, 2019
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Wellens' Syndrome: A Sign of Impending Myocardial Infarction.
Reshmi Mathew1, Yixin Zhang2, Christopher Izzo2
1Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville , USA.
Cureus
|June 24, 2022
Summary
Wellens
Area of Science:
- Cardiology
- Electrocardiography
- Interventional Cardiology
Background:
- Wellens' pattern on electrocardiogram (EKG) indicates anterior wall ischemia, often due to proximal Left Anterior Descending (LAD) artery stenosis.
- This EKG finding can precede a massive, fatal myocardial infarction (MI).
Observation:
- A 50-year-old male presented with chest pain and hypertensive emergency, showing new biphasic T-waves in EKG leads V2-V5.
- Despite chest pain resolution with blood pressure control, persistent Wellens' pattern on EKG prompted further investigation.
Findings:
- Left heart catheterization revealed severe multivessel coronary artery disease with critical mid-LAD stenosis.
- Surgical revascularization was successfully performed.
Implications:
- This case underscores the critical importance of recognizing Wellens' pattern to prevent potentially fatal myocardial infarction.
- It highlights a unique anatomical correlation of Wellens' syndrome with mid-LAD stenosis, differing from typical proximal LAD lesions.
Keywords:
left anterior descending artery (lad)left ventricular hypertrophy (lvh)myocardial infarctionpseudo-wellenswellens’wellens’ syndromeMore Related Videos
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