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The 'widow maker' warning sign or Wellens’ syndrome: A case report
- Source :
- Archives of Biological Sciences, Vol 64, Iss 2, Pp 733-738 (2012)
- Publication Year :
- 2012
- Publisher :
- University of Belgrade, University of Novi Sad, 2012.
-
Abstract
- Wellens? syndrome, also known as LAD (left anterior descending) coronary T-wave syndrome, ?widow maker? or warning sign, is a potentially unrecognized critical proximal LAD stenosis with possible fatal consequences. It can be associated with extensive acute anterior wall myocardial infarction, with left ventricular dysfunction and a lethal outcome within a few days after the onset of symptoms. It usually consists of a typical ECG finding in the precordial leads that represents a significant proximal LAD stenosis in patients with unstable angina pectoris. Although this syndrome is not indicated for PCI (the patient is usually pain-free at the time of electrocardiography registration), it is necessary to recognize the characteristic pattern and perform an emergency coronary angiography and percutaneous or surgical revascularisation of the affected blood vessel. Here we present the case report of a 47 year-old woman without previous anamnesis of coronary disease. On admission to the Coronary Care Unit she was chest pain-free and had all the indicators of Wellens? syndrome.
- Subjects :
- unstable angina pectoris
medicine.medical_specialty
Percutaneous
Wellens' syndrome
General Biochemistry, Genetics and Molecular Biology
Internal medicine
Medicine
cardiovascular diseases
lcsh:QH301-705.5
Anamnesis
medicine.diagnostic_test
business.industry
Unstable angina
ECG
stenosis
medicine.disease
Stenosis
lcsh:Biology (General)
Conventional PCI
Coronary care unit
Cardiology
left anterior descending coronary artery (LAD)
T-wave
General Agricultural and Biological Sciences
business
Electrocardiography
Subjects
Details
- Language :
- English
- ISSN :
- 18214339 and 03544664
- Volume :
- 64
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Archives of Biological Sciences
- Accession number :
- edsair.doi.dedup.....eef100efec1d4394124472c7a82a7b51