Abstract
Madde bağımlılığı, fiziksel, ruhsal sosyal sorunlara yol açan tüm yaşlarda görülebilen bir toplumsal problemdir. 25 yıl kronik esrar kullanımı olan altmış bir yaşında erkek hastada elektrokardiyografi (EKG) bulgularına göre wellens sendromu düşünüldü. Hastanın acil koroner girişim sonrası LAD total oklüzyonu saptandı. Koroner total oklüzyon olmadan görülen ve oklüzyonu haber veren wellens sendromunun esrar kullanımı ile birlikteliği literatürde daha önce bildirilmedi. Esrar kullanımı olan hastalarda da bu sendromun düşünülmesi hızla mortaliteye yolaçması açısından düşünülmesi gerekmektedir.
Keywords
References
- 1. DE ZWAAN C, Bär FW, Wellens HJ. Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Am Heart J. 1982; 103:730–736.
- 2. DE ZWAAN C, Bär FW, Janssen JH, Cheriex EC, Dassen WR, Brugada P, Penn OC, Wellens HJ. Angiographic and clinical characteristics of patients with unstable angina showing an ECG pattern indicating critical narrowing of the proximal LAD coronary artery. Am Heart J. 1989; 117:657–665.
- 3. RHİNEHARDT J, Brady WJ, Perron AD, Mattu A. Electrocardiographic manifestations of Wellens’ syndrome. Am J Emerg Med. 2002; 20:638–643.
- 4. Nüfusta Tütün, Alkol ve Madde Kullanımına Yönelik Tutum ve Davranış Araştırması (TUBİM GPS Araştırması) 2018.
- 5. AUFDERHEİDE TP, Gibler WB. Acute ischemic coronary syndromes. In: Rosen P, Barkin R, editors. Emergency Medicine: Concepts and Clinical Practice, 4th St Louis: Mosby-Year Book; 1998.P.1688-91.
- 6. OMAR Al-assaf , Mouayad Abdulghani, Anas Musa, Muna AlJallaf. Wellen’s Syndrome: The Life-Threatening Diagnosis. Circulation. 2019;140:1851–1852.
Abstract
Substance abuse is a social problem that can be seen at all ages, leading to physical and mental social problems. According to the electrocardiographic (ECG) findings, a sixty-one-year-old male patient with 25 years of chronic cannabis use was considered wellens’ syndrome. LAD total occlusion was detected after the patient's emergency coronary intervention. The association of wellens’ syndrome, seen without coronary total occlusion and informing occlusion, with cannabis use has not been reported in the literature before. The thought of this syndrome in patients with cannabis use should be considered in terms of causing mortality rapidly.
Keywords
References
- 1. DE ZWAAN C, Bär FW, Wellens HJ. Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Am Heart J. 1982; 103:730–736.
- 2. DE ZWAAN C, Bär FW, Janssen JH, Cheriex EC, Dassen WR, Brugada P, Penn OC, Wellens HJ. Angiographic and clinical characteristics of patients with unstable angina showing an ECG pattern indicating critical narrowing of the proximal LAD coronary artery. Am Heart J. 1989; 117:657–665.
- 3. RHİNEHARDT J, Brady WJ, Perron AD, Mattu A. Electrocardiographic manifestations of Wellens’ syndrome. Am J Emerg Med. 2002; 20:638–643.
- 4. Nüfusta Tütün, Alkol ve Madde Kullanımına Yönelik Tutum ve Davranış Araştırması (TUBİM GPS Araştırması) 2018.
- 5. AUFDERHEİDE TP, Gibler WB. Acute ischemic coronary syndromes. In: Rosen P, Barkin R, editors. Emergency Medicine: Concepts and Clinical Practice, 4th St Louis: Mosby-Year Book; 1998.P.1688-91.
- 6. OMAR Al-assaf , Mouayad Abdulghani, Anas Musa, Muna AlJallaf. Wellen’s Syndrome: The Life-Threatening Diagnosis. Circulation. 2019;140:1851–1852.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Emergency Medicine |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | March 1, 2020 |
| Submission Date | February 14, 2020 |
| Acceptance Date | February 24, 2020 |
| Published in Issue | Year 2020 Volume: 2 Issue: 1 |
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