Wellens' syndrome: a close call. (21st June 2018)

• Record Type: Journal Article
• Authors: Udechukwu, Nneka; Shrestha, Pragya; Khan, Muhammad Zeeshan; Donato, Anthony A
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-06-21
• Subjects: ischaemic heart disease -- cardiovascular medicine; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-225376
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We describe a case of a middle-aged man who presented to the emergency department with typical anginal chest pains and found to have new, deeply inverted T-waves on ECG consistent with Wellens' syndrome. Similar to the description by Wellens et al, a critical 99% stenosis of the proximal left anterior descending artery was indeed confirmed by coronary angiography and successfully treated with drug-eluting stent. It is very important that physicians recognise this ECG finding as a harbinger of a serious cardiovascular condition and the necessity for an early invasive cardiac catheterisation.