Wellens’ Syndrome, a case report of an electrocardiographic warning sign
Journal Title: Journal of Advances in Internal Medicine - Year 2016, Vol 5, Issue 1
Abstract
Introduction: Wellens’ syndrome is described as a characteristic biphasic or symmetrical electrocardiographic T-wave inversions in precordial leads seen in a subset of patients with unstable angina. It is associated with critical stenosis of left anterior descending coronary artery. These patients have a high likelihood of progressing to acute myocardial infarction within a few days to weeks of onset of symptoms, thus it warrants an early invasive approach. Case Presentation: We present a 33-year-old otherwise healthy Indo-Jamaican male who presented with chest pain and characteristic electrocardiographic changes. Wellens’ syndrome was recognized. Emergent coronary angiography revealed 99% stenosis of proximal left anterior descending coronary artery. It was treated with a drug eluting stent. Conclusion: Electrocardiographic changes in Wellens’ syndrome are subtle and characteristically appear during chest pain free interval. It can be easily overlooked as non-specific ST, T wave change. Clinicians should be well aware of this subtle yet alarming electrocardiographic sign. This case report underlines the importance of recognizing the ominous electrocardiographic sign and its association with critical stenosis of the left anterior descending coronary artery.
Authors and Affiliations
Yub Raj Sedhai*| Resident, Department of internal medicine, Mercy Catholic Medical Center, Philadelphia, USA, Aditya Singh Pawar| Resident, Department of internal medicine, Mercy Catholic Medical Center, Philadelphia, USA, Priyanka T. Bhattacharya| Hospitalist, Department of internal medicine, Mercy Catholic Medical Center, Philadelphia, USA, Soney Basnyat| Medical Officer, Department of Medicine, Nepal Medical College, Kathmandu, Nepal
Keywords
Related Articles
- EP ID EP4805
- DOI http://dx.doi.org/10.3126/jaim.v5i1.17067
- Views 450
- Downloads 20
Hypokalemic quadriparesis due to renal tubular acidosis in a patient with Sjögren’s syndrome: A case series
We report two cases of female patients presented with hypokalemia secondary to renal tubular acidosis. Sjögren’s syndrome was diagnosed in both the patients on the basis of histopathological and autoantibodies tests. The...
WHEAT FARMERS' PERCEPTIONS OF SUSTAINABLE AGRICULTURE: THE CASE OF KERMANSHAH PROVINCE OF IRAN
The objective of this study was to investigate wheat farmers' perceptions towards sustainable agriculture. The sample included 140 farmers that were determined using Cochran (1977) formula. The Cronbach’s alpha coefficie...
BEHAVIOUR AND FATE OF 14C-2,4-DICHLOROPHENOXYACETIC ACID IN MALAYSIAN RICE MODEL AGROECOSYSTEM LYSIMETERS
Behavior and fate of 14C-2,4-dichlorophenoxyacetic acid (2,4-D) was studied in a Malaysian rice model agroecosystem. This model agroecosystem that consists of ricefield soil obtained from the Muda rice granary area, rice...
IDENTIFICATION OF STABLE GENOTYPES OF RAPESEED USING SOME PARAMETRIC AND NON-PARAMETRIC METHODS UNDER DRYLAND CONDITIONS
Rapeseed breeders aimed to develop varieties which perform relatively well over the target region. However the presence of genotype× environment (GE) hinders selection progress. This study was conducted on 20 improved ra...
Immunology of the gut and oral tolerance
The pathogens and harmless antigens from the bacterial flora and food constantly expose the mucosal surface of the gastrointestinal tract. The mucosal epithelial cells act not only as a physical barrier, but also as a lo...