Clinical Profile and Angiographic Characteristics in Patients with Wellens Syndrome
Journal Title: PARIPEX-Indian Journal of Research - Year 2016, Vol 5, Issue 2
Abstract
BACKGROUND: The purpose of this study was to investigate the demographic profile, risk factors, and angiographic findings in patients with Wellens Syndrome. METHODS: This study was carried out at the Department of Medicine, Green city Hospital,Dhantoli,Nagpur. Clinical and risk factors data was collected by clinical evaluation and reviewing hospital record. Angiographic data was collected by analyzing angiograms done after patients were discharged. RESULTS: A total of 40 patients were included in the study out of which 30 (75%) were male. Their mean age ±SD was 53±10.8years. 25% patients suffered from hypertension, 37.5% had diabetes mellitus, 50% had dyslipidemia, 35% were smokers and 32.5% had history for premature coronary artery disease. On angiographic analysis 35 patients (87.5%) had single vessel disease (SVD), 2 patients (5%) had double vessel disease (DVD), and 3 patients (7.5%) had normal coronary arteries. Out of 37 patients the involvement of left anterior descending (LAD) was seen in all patients (100%) and 2 patients had circumflex in addition to LAD. CONCLUSION: Wellens syndrome represents critical LAD disease; accordingly, its natural progression leads to anterior wall MI. This progression is so likely that medical management alone is not enough to stop the natural process. Evolution to an anterior wall MI is rapid & there is the potential for substantial morbidity or mortality. Thus, it is of utmost importance to recognize this pattern early.
Authors and Affiliations
Dr Darpan Pandharinath Jakkal, Dr Vimlesh ramsevak Pandey
Keywords
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