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Cocaine-induced pseudo-Wellens' syndrome: a Wellens' phenocopy.
- Source :
-
BMJ case reports [BMJ Case Rep] 2017 Dec 14; Vol. 2017. Date of Electronic Publication: 2017 Dec 14. - Publication Year :
- 2017
-
Abstract
- Wellens' syndrome represents critical occlusion of the proximal left anterior descending coronary artery. Electrocardiographic changes similar to Wellens' wave are not exceptional to acute coronary occlusion and can also be seen in cardiac and non-cardiac conditions, such as left ventricular hypertrophy, persistent juvenile T wave, bundle branch blocks, cerebral haemorrhage, pulmonary oedema, pulmonary embolism, pheochromocytoma, Takotsubo syndrome, digitalis and cocaine-induced coronary vasospasm. Cocaine-induced pseudo-Wellens' syndrome should be considered as one of the differentials, since cocaine is used frequently by young adults and can cause left anterior descending coronary vasospasm mimicking Wellens' syndrome. Initiation of the beta-blocking agent in pseudo-Wellens' syndrome as a part of acute coronary syndrome management can be disastrous. We illustrated a case of cocaine-induced pseudo-Wellens' syndrome presented with typical chest pain associated with Wellenoid ECG.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
- Subjects :
- Adrenergic beta-Antagonists administration & dosage
Adrenergic beta-Antagonists therapeutic use
Bundle-Branch Block chemically induced
Bundle-Branch Block diagnostic imaging
Bundle-Branch Block drug therapy
Chest Pain etiology
Coronary Angiography
Diagnosis, Differential
Electrocardiography
Humans
Male
Middle Aged
Syndrome
Bundle-Branch Block diagnosis
Cocaine adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 2017
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 29246935
- Full Text :
- https://doi.org/10.1136/bcr-2017-222835