Wellens syndrome- a red flag sign of critical proximal lad stenosis

Balamurgan R .

Abstract


Wellens syndrome is a subgroup of unstable angina patients with characteristic T-wave electrocardiographic (ECG) changes in precordial leads occurring during the chest pain-free period in a patient with intermittent chest pain which is highly suggestive of critical proximal left anterior descending artery stenosis that will soon evolve into an acute anterior wall myocardial infarction (MI) or sudden death if not managed by early invasive revascularisation therapy. In view of the large area of myocardium at risk, the importance of recognizing the significance of this ECG pattern is of critical importance for an emergency physician. We aimed at evaluating 10 patients who presented with intermittent anginal pain and classic Wellens T wave changes in ECG, their clinical course and correlated with coronary angiogram. We observed 80 of the patients had critical LAD stenosis and were revascularised successfully at the earliest.

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References


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