Case Report
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Wellens’ Syndrome: Case report

Year 2021, Volume: 2 Issue: 1, 37 - 39, 30.03.2021

Abstract

Wellens’ syndrome is a clinical picture characterized by T wave changes mostly observed in painless periods on electrocardiography as a result of the critical narrowing of the left anterior descending artery. In our case, a 57-year-old female was admitted to the emergency department with the complaint of intermittent atypical chest pain for two days. In the electrocardiography, negative T waves were observed in the anterior leads defined as Wellens’ syndrome. Cardiac enzyme markers were slightly elevated. The patient was evaluated as an acute coronary syndrome and was taken to the catheter laboratory. In coronary angiography, 99% critical stenosis was detected in the middle segment of the left anterior descending artery and percutaneous intervention was performed.

References

  • de Zwaan C, Frits W. H. M. Bär, and Hein J. J. Wellens, “Characteristic electrocardiographic pattern indicating a critical stenosis high in le anterior descending coronary artery in patients admitted because of impending myocardial infarction,” American Heart Journal, vol. 103, no. 4, pp. 730–736, 1982.
  • de Zwaan C, Bar FW, Janssen JH, et al. 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 Mar. 117(3):657-65.
  • T. K. Tandy, D. P. Bottomy, and J. G. Lewis, “Wellens’ syndrome,” Annals of Emergency Medicine, vol. 33, no. 3, pp. 347–351, 1999
  • Rhinehardt J, Brady WJ, Perron AD, Mattu A. Electrocardiographic manifestations of Wellens' syndrome. Am J Emerg Med. 2002 Nov. 20(7):638-43.
  • Sowers N. Harbinger of infarction: Wellens syndrome electrocardiographic abnormalities in the emergency department. Can Fam Physician. 2013;59(4):365-6.

Wellens Sendromu: Olgu sunumu

Year 2021, Volume: 2 Issue: 1, 37 - 39, 30.03.2021

Abstract

Wellens sendromu sol ön inen arterin (LAD) kritik daralmasın neticesinde elektrokardiyografide (EKG) çoğunlukla ağrısız periyodlarda izlenen T dalga değişiklikleri ile seyreden klinik tablodur. Vakamız 57 yaşında bayan hasta iki gündür aralıklı olan atipik göğüs ağrısı şikayeti ile acil servise başvurdu. EKG’de Wellens sendromu olarak tanımladığımız ön yüz derivasyonlarda negatif T dalgaları izlendi. Kardiyak enzim değerinde hafif yüksek tespit edildi. Hasta doğrudan koroner anjiyografi laboratuvarına alındı ve yapılan görüntülemede LAD orta segmentte %99 kritik darlık tespit edildi ve perkütan girişim yapıldı. Hasta komplikasyonsuz olarak taburcu edildi.

References

  • de Zwaan C, Frits W. H. M. Bär, and Hein J. J. Wellens, “Characteristic electrocardiographic pattern indicating a critical stenosis high in le anterior descending coronary artery in patients admitted because of impending myocardial infarction,” American Heart Journal, vol. 103, no. 4, pp. 730–736, 1982.
  • de Zwaan C, Bar FW, Janssen JH, et al. 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 Mar. 117(3):657-65.
  • T. K. Tandy, D. P. Bottomy, and J. G. Lewis, “Wellens’ syndrome,” Annals of Emergency Medicine, vol. 33, no. 3, pp. 347–351, 1999
  • Rhinehardt J, Brady WJ, Perron AD, Mattu A. Electrocardiographic manifestations of Wellens' syndrome. Am J Emerg Med. 2002 Nov. 20(7):638-43.
  • Sowers N. Harbinger of infarction: Wellens syndrome electrocardiographic abnormalities in the emergency department. Can Fam Physician. 2013;59(4):365-6.
There are 5 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Mehmet Arslan 0000-0001-8785-7944

Ali Duygu

Uğur Küçük 0000-0003-4669-7387

Publication Date March 30, 2021
Submission Date December 30, 2020
Published in Issue Year 2021 Volume: 2 Issue: 1

Cite

APA Arslan, M., Duygu, A., & Küçük, U. (2021). Wellens Sendromu: Olgu sunumu. Troia Medical Journal, 2(1), 37-39.
AMA Arslan M, Duygu A, Küçük U. Wellens Sendromu: Olgu sunumu. Troia Med J. March 2021;2(1):37-39.
Chicago Arslan, Mehmet, Ali Duygu, and Uğur Küçük. “Wellens Sendromu: Olgu Sunumu”. Troia Medical Journal 2, no. 1 (March 2021): 37-39.
EndNote Arslan M, Duygu A, Küçük U (March 1, 2021) Wellens Sendromu: Olgu sunumu. Troia Medical Journal 2 1 37–39.
IEEE M. Arslan, A. Duygu, and U. Küçük, “Wellens Sendromu: Olgu sunumu”, Troia Med J, vol. 2, no. 1, pp. 37–39, 2021.
ISNAD Arslan, Mehmet et al. “Wellens Sendromu: Olgu Sunumu”. Troia Medical Journal 2/1 (March 2021), 37-39.
JAMA Arslan M, Duygu A, Küçük U. Wellens Sendromu: Olgu sunumu. Troia Med J. 2021;2:37–39.
MLA Arslan, Mehmet et al. “Wellens Sendromu: Olgu Sunumu”. Troia Medical Journal, vol. 2, no. 1, 2021, pp. 37-39.
Vancouver Arslan M, Duygu A, Küçük U. Wellens Sendromu: Olgu sunumu. Troia Med J. 2021;2(1):37-9.