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Case Report

Wellens’ Syndrome: An Acute Coronary Syndrome, a Diagnosis often Misssed in Emergency Department

Tanmay Kumar Jha, DNB Resident, Department of Emergency Medicine, Max Super Speciality Hospital, Vaishali, Ghaziabad, Uttar Pradesh 201012, India. , Tanmay Kumar Jha , Chintala Venkata Sai Chiranjeevi , Gebran Manzoor , Sarat Kumar Naidu , Dheeraj Bhaskaran Nair

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Indian Journal of Emergency Medicine 4(3):p 248-252, Jul-Sep, 2018. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4318.28

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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. 
 

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4318.28

Keywords

Wellen’s syndrome; Biphasic T wave; Inverted T-wave; Left Anterior Descending Artery (LAD); LAD Critical Stenosis; Coronary Angiography (CAG); Primary PTCA + Stent to LAD; Anterior Wall Myocardial Infarction (AWMI); Cardiac enzymes; Left Ventricular Dysfunction; Left Bundle Branch Block (LBBB).

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