1DNB Resident 2Senior Resident 3MEM Resident 4Attending Consultant 5Head of Department, Department of Emergency Medicine, Max Super Speciality Hospital, Vaishali, Ghaziabad, Uttar Pradesh 201012, India.
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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.
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).
Corresponding Author : Tanmay Kumar Jha, DNB Resident, Department of Emergency Medicine, Max Super Speciality Hospital, Vaishali, Ghaziabad, Uttar Pradesh 201012, India.
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