کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3249307 | 1589157 | 2012 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Aborted Myocardial Infarction in a Patient with Rapid Progression of Wellens Syndrome Aborted Myocardial Infarction in a Patient with Rapid Progression of Wellens Syndrome](/preview/png/3249307.png)
BackgroundWellens syndrome refers to a distinct electrocardiographic pattern of deeply inverted or biphasic T waves in the anterior precordial leads, in the presence of critical proximal stenosis of the left anterior descending coronary artery (LAD). The natural history of the syndrome is an extensive myocardial infarction within weeks of hospital admission.Case ReportThis report describes a 63-year-old man in whom typical electrocardiographic signs of Wellens syndrome advanced to persistent ST-segment elevation within 7 min of presentation. Extensive anterior myocardial infarction (AMI) was aborted by primary percutaneous coronary intervention of a sub-occluded proximal LAD.ConclusionGiven the large area of the left ventricle supplied by a sub-occluded LAD, devastating AMI could have been expected and may have resulted in serious ventricular dysfunction and death. Therefore, early recognition of Wellens syndrome is essential and can be lifesaving.
Journal: The Journal of Emergency Medicine - Volume 43, Issue 3, September 2012, Pages e181–e184