Wellens' syndrome.
نویسندگان
چکیده
We describe a patient with Wellens' syndrome. In view of the large area of myocardium at risk, the importance of recognizing the significance of this ECG pattern is of critical importance for the emergency physician, especially those involved in the evaluation of patients at emergency department chest pain centers. Wellens' syndrome, the criteria for diagnosis, and a discussion of its implications are presented.
منابع مشابه
Wellens' syndrome: the electrocardiographic finding that is seen as unimportant.
Wellens' syndrome is a pattern of electrocardiography T-wave changes associated with critical proximal left anterior descending artery lesion. Patients with Wellens' syndrome are at high risk of the development of extensive myocardial infarction of the anterior wall and death. Thus, it is vital that this finding is recognized promptly. We present a patient with Wellens' syndrome in this article.
متن کاملAtypical Presentation of Acute Coronary Syndrome and Importance of Wellens’ Syndrome
BACKGROUND Acute coronary syndrome (ACS) is a common and potentially life-threatening condition encountered in emergency departments. Despite its dreaded nature, nearly one-third of ACS present without chest pain and may mislead clinicians. Additionally, Wellens' syndrome is a pre-infarction stage of significant proximal left anterior descending (LAD) artery stenosis, which can lead to extensiv...
متن کاملWellens' Syndrome – Report of two cases
Wellens' Syndrome is a pattern of electrocardiographic T-wave changes associated with critical, proximal left anterior descending (LAD) artery stenosis. Diagnostic criteria of Wellens' Syndrome are history of chest pain, little or no cardiac enzyme elevation, little or no ST-segment elevation, no loss of precordial R waves, no pathologic precordial Q waves and typical T-wave changes. Urgent car...
متن کاملOmnious T-wave inversions: Wellens’ syndrome revisited
Wellens' syndrome is characterized by T-wave changes in electrocardiogram (EKG) during pain-free period in a patient with intermittent angina chest pain. It carries significant diagnostic and prognostic value because this syndrome represents a pre-infarction stage of coronary artery disease involving proximal left anterior descending (LAD) artery, which can subsequently lead to extensive anteri...
متن کاملAn incidental case of Wellens' syndrome in a community emergency department.
INTRODUCTION Wellens' syndrome, also called left anterior descending (LAD) coronary T-wave syndrome, is a characteristic electrocardiographic (ECG) pattern suggestive of coronary artery disease in the preinfarction stage. [1–3] ECG changes in Wellens' syndrome may signify critical stenosis in the proximal LAD coronary artery. [1–5] Furthermore, ECG changes may occur during a pain-free period wi...
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ورودعنوان ژورنال:
- Annals of emergency medicine
دوره 33 3 شماره
صفحات -
تاریخ انتشار 1999