ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ Syndrome

ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ Syndrome

Wellens’ syndrome, also known as LAD coronary T-wave inversion syndrome, is a characteristic ECG pattern that highly suggests critical stenosis of the proximal left anterior descending (LAD) coronary artery. 75% of patients with this finding go on to develop acute anterior wall myocardial infarction...

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Main Authors: Kunal Patel, Fady Alattar, Jayanth Koneru, Fayez Shamoon
Format: Article
Language:English
Published: Hindawi Limited 2014-01-01
Series:Case Reports in Emergency Medicine
Online Access:http://dx.doi.org/10.1155/2014/530451
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spelling doaj-94cfbcbbc87b48fbb847d5b6045753f72020-11-25T00:59:47ZengHindawi LimitedCase Reports in Emergency Medicine2090-648X2090-64982014-01-01201410.1155/2014/530451530451ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ SyndromeKunal Patel0Fady Alattar1Jayanth Koneru2Fayez Shamoon3Department of Cardiovascular Services, Trinitas Regional Medical Center, Seton Hall University, 225 Williamson Street, Elizabeth, NJ 07202, USADepartment of Cardiovascular Services, Trinitas Regional Medical Center, Seton Hall University, 225 Williamson Street, Elizabeth, NJ 07202, USADepartment of Cardiovascular Services, Trinitas Regional Medical Center, Seton Hall University, 225 Williamson Street, Elizabeth, NJ 07202, USADepartment of Cardiovascular Services, Trinitas Regional Medical Center, Seton Hall University, 225 Williamson Street, Elizabeth, NJ 07202, USAWellens’ syndrome, also known as LAD coronary T-wave inversion syndrome, is a characteristic ECG pattern that highly suggests critical stenosis of the proximal left anterior descending (LAD) coronary artery. 75% of patients with this finding go on to develop acute anterior wall myocardial infarction within one week unless prevented by early intervention on the culprit lesion. Most instances of ST-elevation occurring during cardiac stress testing have been observed with exercise, with only seven cases reported in the literature with pharmacologic stress. We present a case of a patient with no known cardiac disease who presented with chest pain and an ECG consistent with Wellens’ syndrome that developed an acute anterior wall ST-elevation myocardial infarction after pharmacologic stress test.http://dx.doi.org/10.1155/2014/530451
collection DOAJ
language English
format Article
sources DOAJ
author Kunal Patel
Fady Alattar
Jayanth Koneru
Fayez Shamoon
spellingShingle Kunal Patel
Fady Alattar
Jayanth Koneru
Fayez Shamoon
ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ Syndrome
Case Reports in Emergency Medicine
author_facet Kunal Patel
Fady Alattar
Jayanth Koneru
Fayez Shamoon
author_sort Kunal Patel
title ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ Syndrome
title_short ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ Syndrome
title_full ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ Syndrome
title_fullStr ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ Syndrome
title_full_unstemmed ST-Elevation Myocardial Infarction after Pharmacologic Persantine Stress Test in a Patient with Wellens’ Syndrome
title_sort st-elevation myocardial infarction after pharmacologic persantine stress test in a patient with wellens’ syndrome
publisher Hindawi Limited
series Case Reports in Emergency Medicine
issn 2090-648X
2090-6498
publishDate 2014-01-01
description Wellens’ syndrome, also known as LAD coronary T-wave inversion syndrome, is a characteristic ECG pattern that highly suggests critical stenosis of the proximal left anterior descending (LAD) coronary artery. 75% of patients with this finding go on to develop acute anterior wall myocardial infarction within one week unless prevented by early intervention on the culprit lesion. Most instances of ST-elevation occurring during cardiac stress testing have been observed with exercise, with only seven cases reported in the literature with pharmacologic stress. We present a case of a patient with no known cardiac disease who presented with chest pain and an ECG consistent with Wellens’ syndrome that developed an acute anterior wall ST-elevation myocardial infarction after pharmacologic stress test.
url http://dx.doi.org/10.1155/2014/530451
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AT fadyalattar stelevationmyocardialinfarctionafterpharmacologicpersantinestresstestinapatientwithwellenssyndrome
AT jayanthkoneru stelevationmyocardialinfarctionafterpharmacologicpersantinestresstestinapatientwithwellenssyndrome
AT fayezshamoon stelevationmyocardialinfarctionafterpharmacologicpersantinestresstestinapatientwithwellenssyndrome
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