Wellens’ Syndrome: An Acute Coronary Syndrome, a Diagnosis often Misssed in Emergency Department
Journal Title: Indian Journal of Emergency Medicine - Year 2018, Vol 4, Issue 3
Abstract
Wellens' syndrome is a pre-infarction stage of critical proximal left anterior descending (LAD) coronary artery stenosis in patients with angina chest pain without typical ECG changes nor with elevated cardiac enzymes. Misdiagnosis or delayed diagnosis of this condition can lead to full-blown myocardial infarction and death if not intervened appropriately. We describe a case of 59 years old male who has had recurrent episodes of chest painwithout typical ECG changes and significant cardiac markers but was found to have critical LAD stenosis on angiography. We also describe the diagnosis criteria of Wellens’ syndrome and its importance.
Authors and Affiliations
Tanmay Kumar Jha
Keywords
Related Articles
- EP ID EP553140
- DOI 10.21088/ijem.2395.311X.4318.28
- Views 85
- Downloads 0
Life Threatening Rhabdomyolysis, A Rare and Unusual Presentation with Rosuvastatin Ingestion
Rhabdomyolysis is the breakdown of skeletal muscle which is found commonly associated with crush injuries, compartment syndromes, strenous exercise and drug abuse but rarely found due to consumption of medications like s...
Detection of Endotracheal Intubation by Insertion Depth of Endotracheal Tube, Bilateral Chest Auscultation, and Observation of Bilateral Chest Movement during Emergency Intubation: Prospective Observational Study
Introduction: Endotracheal intubation, a routine lifesaving procedure in Emergency Medicine practice, can cause serious life threat to the intubated patient if the position of the tube is not confirmed appropriately.We d...
Epidemiological Study on Road Traffic Accident Victims Presented to Emergency Department of Tertiary Hospital
Background: Trauma is a leading cause of mortality and morbidity globally. In our country more than a million are injured and killed in road traffic accidents. This study aimed to describe the different pattern of injuri...
Integrative Weaning Index: Can it be Used Routinely as a Predictor of Weaning Success?
Objective: Application of Integrative Weaning Index in predicting weaning success. Materials and Methods: A prospective study on the mechanically ventilated 26 patients; after minimum 24 hours of ventilation criterias of...
Clinical Profile and Carotid Intima thickness of Patients with Diabetes Mellitus
Under normal physiological conditions plasma glucose concentrations are maintained within a narrow range despite wide fluctuations in supply and demand through a tightly regulated and dynamic interaction between tissue s...