Wellens' syndrome: significance of ECG pattern recognition in the emergency department

Emerg Med J. 2009 Oct;26(10):750-1. doi: 10.1136/emj.2008.067470.

Abstract

Wellens' syndrome describes a characteristic pattern of ECG T-wave changes in association with critical narrowing of the left anterior descending coronary artery. Failure to diagnose this condition, with subsequent inappropriate management, may have fatal consequences. A case of Wellens' syndrome is reported in a young man presenting with "atypical chest pain" and the significance of its prompt recognition is discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Chest Pain / etiology
  • Coronary Angiography
  • Coronary Stenosis / diagnosis*
  • Coronary Stenosis / diagnostic imaging
  • Electrocardiography*
  • Emergency Service, Hospital
  • Humans
  • Male
  • Syndrome