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Global Longitudinal Strain in Wellens' Syndrome
Rakesh Agarwal1, Aditya Verma2
1Department of Cardiology, Vedant Hospital, Thane, Maharashtra, India.
Journal of Cardiovascular Echography
|January 9, 2023
Summary
Wellens' syndrome, a cause of noncardiac chest pain, shows early left ventricular global longitudinal strain changes. These cardiac imaging findings appear even with normal ejection fraction, aiding diagnosis and treatment.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Noncardiac chest pain is a common presentation.
- Wellens' syndrome is a specific electrocardiographic pattern indicating critical proximal left anterior descending coronary artery stenosis.
Observation:
- A young male patient presented with chest pain initially considered noncardiac.
- Early changes in left ventricular global longitudinal strain were observed.
Findings:
- Wellens' syndrome was diagnosed based on characteristic clinical and imaging findings.
- Global longitudinal strain alterations were detected despite a preserved ejection fraction.
- Percutaneous coronary intervention was successfully performed.
Implications:
- Global longitudinal strain imaging can reveal subclinical myocardial dysfunction in Wellens' syndrome.
- Early identification of Wellens' syndrome is crucial for timely intervention.
- This case highlights the importance of considering cardiac causes for chest pain.
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