Wellens’ Syndrome and Impending Anterior Wall Myocardial Infarction: A Case Report

Abstract

Wellens' Syndrome (WS) is a clinical presentation of ischemic chest pain with deep and symmetrical T wave or biphasic T wave inversion in V1 or V2 until V4 or V5 in electrocardiography finding and critical lesion in proximal Left Anterior Descenden (LAD) coronary artery. This case report discuss male 51 year old with typical chest pain and the ECG showed deep T-wave inversion in V1-V5. Transient ST elevation in V1-V5 appeared in 4th day of hospitalization without increasing cardiac markers. Coronary angiography examination demonstrated critical stenosis in proximal LAD (90%). Here we discuss about Wellens' syndrome clinical manifestation, ECG and coronary angiography presentation, and also anterior wall Myocardial infarction as a consequences of WS. Early detection and prompt management can prevent anterior wall MI and mortality.

Wellens Syndrome: A Review Article

“…This is beneficial for evaluating further management, such as angioplasty or coronary artery bypass procedures. 10 Symptomatic patients should be monitored in the intensive care unit, and cardiac catheterization should be performed in an emergency setting. Stress test which can induce acute myocardial infarction and sudden death is contraindicated in WS patients who had severe stenosis of LAD.…”