Wellens' syndrome

Wellens' syndrome

We report a case of quite rare cause of thoracic pain suspected by emergency physician as Wellens’ syndrome. Wellens’ syndrome is a pattern of electrocardiographic T-wave changes associated with critical, proximal left anterior descending artery (LAD). This syndrome is about 10-1...

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Bibliographic Details
Main Authors: Franco Lai, Alessio Baldini, Gloria Trombaccia, Marco Becheri
Format: Article
Language:English
Published: PAGEPress Publications 2007-12-01
Series:Emergency Care Journal
Online Access:http://www.pagepressjournals.org/index.php/ecj/article/view/1230
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spelling doaj-558fdfc75aa7426eaa91d1c7f87fb8c52020-11-25T03:40:06ZengPAGEPress PublicationsEmergency Care Journal1826-98262007-12-0136141710.4081/ecj.2007.6.14757Wellens' syndromeFranco Lai0Alessio Baldini1Gloria Trombaccia2Marco Becheri3Emergenza e Accettazione, Ospedale “Misericordia e Dolce”, USL 4, PratoEmergenza e Accettazione, Ospedale “Misericordia e Dolce”, USL 4, PratoEmergenza e Accettazione, Ospedale “Misericordia e Dolce”, USL 4, PratoEmergenza e Accettazione, Ospedale “Misericordia e Dolce”, USL 4, PratoWe report a case of quite rare cause of thoracic pain suspected by emergency physician as Wellens’ syndrome. Wellens’ syndrome is a pattern of electrocardiographic T-wave changes associated with critical, proximal left anterior descending artery (LAD). This syndrome is about 10-15% of all unstable angina in emergency department (ED). The cardiologic consult was obtained in ED and it was not conclusive for a Wellens’ syndrome, so that the diagnostistic planning was wrong. The authors point out the importance of this syndrome in ED and the necessity of an urgent angiographic study as every acute coronary syndrome presented in ED. We remark the importance in ED to recognize these changes associated with critical LAD obstruction and the high risk for anterior wall myocardial infarction.http://www.pagepressjournals.org/index.php/ecj/article/view/1230
collection DOAJ
language English
format Article
sources DOAJ
author Franco Lai
Alessio Baldini
Gloria Trombaccia
Marco Becheri
spellingShingle Franco Lai
Alessio Baldini
Gloria Trombaccia
Marco Becheri
Wellens' syndrome
Emergency Care Journal
author_facet Franco Lai
Alessio Baldini
Gloria Trombaccia
Marco Becheri
author_sort Franco Lai
title Wellens' syndrome
title_short Wellens' syndrome
title_full Wellens' syndrome
title_fullStr Wellens' syndrome
title_full_unstemmed Wellens' syndrome
title_sort wellens' syndrome
publisher PAGEPress Publications
series Emergency Care Journal
issn 1826-9826
publishDate 2007-12-01
description We report a case of quite rare cause of thoracic pain suspected by emergency physician as Wellens’ syndrome. Wellens’ syndrome is a pattern of electrocardiographic T-wave changes associated with critical, proximal left anterior descending artery (LAD). This syndrome is about 10-15% of all unstable angina in emergency department (ED). The cardiologic consult was obtained in ED and it was not conclusive for a Wellens’ syndrome, so that the diagnostistic planning was wrong. The authors point out the importance of this syndrome in ED and the necessity of an urgent angiographic study as every acute coronary syndrome presented in ED. We remark the importance in ED to recognize these changes associated with critical LAD obstruction and the high risk for anterior wall myocardial infarction.
url http://www.pagepressjournals.org/index.php/ecj/article/view/1230
work_keys_str_mv AT francolai wellenssyndrome
AT alessiobaldini wellenssyndrome
AT gloriatrombaccia wellenssyndrome
AT marcobecheri wellenssyndrome
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