Rapid progression of Wellens syndrome in the emergency department.

Autor: Donahue B; Emergency Medicine Residency Program, Resurrection Medical Center, Chicago, Illinois 60631, USA., Chan SB, Bhandarkar S
Jazyk: angličtina
Zdroj: The Journal of emergency medicine [J Emerg Med] 2012 Oct; Vol. 43 (4), pp. 667-70. Date of Electronic Publication: 2010 May 23.
DOI: 10.1016/j.jemermed.2010.04.004
Abstrakt: Background: In 1982, Wellens and colleagues described characteristic electrocardiogram (ECG) findings in angina patients virtually pathognomonic for significant stenosis of the proximal left anterior descending coronary artery and associated with a high risk of acute anterior wall myocardial infarction.
Case Report: We present the case of a 74-year-old emergency department patient with classic ECG findings of Wellens syndrome and progression to acute ST elevation within 55 min.
Summary: We present this case to increase awareness among emergency physicians of the characteristic findings of Wellens syndrome.
(Copyright © 2012 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE