Recognizing Wellens’ syndrome, a warning sign of critical proximal LAD artery stenosis and impending anterior myocardial infarction

Wellens’ syndrome, also known as LAD coronary T-wave syndrome or the ‘widow maker’, is a pre-infarction syndrome with non-classical ischemic ECG changes and unremarkable cardiac biomarkers. This syndrome continues to be a ‘can't miss’ for the clinician as delay in urgent angiography and interve...

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Main Authors: Laura Hollar, Owen Hartness, Tracey Doering
Format: Article
Language:English
Published: Taylor & Francis Group 2015-10-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://www.jchimp.net/index.php/jchimp/article/view/29384/pdf_100
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spelling doaj-259e0f8cc5304c609ad3eb139a2e33af2020-11-25T00:02:05ZengTaylor & Francis GroupJournal of Community Hospital Internal Medicine Perspectives2000-96662015-10-01501310.3402/jchimp.v5.2938429384Recognizing Wellens’ syndrome, a warning sign of critical proximal LAD artery stenosis and impending anterior myocardial infarctionLaura Hollar0Owen Hartness1Tracey Doering2Department of Internal Medicine, University of Tennessee/St Thomas Health, Nashville, TN, USADepartment of Internal Medicine, University of Tennessee/St Thomas Health, Nashville, TN, USADepartment of Internal Medicine, University of Tennessee/St Thomas Health, Nashville, TN, USAWellens’ syndrome, also known as LAD coronary T-wave syndrome or the ‘widow maker’, is a pre-infarction syndrome with non-classical ischemic ECG changes and unremarkable cardiac biomarkers. This syndrome continues to be a ‘can't miss’ for the clinician as delay in urgent angiography and intervention can result in anterior myocardial infarction, left ventricular dysfunction, arrhythmias, and death. We describe a case followed by a discussion of identification criteria and clinical implications.http://www.jchimp.net/index.php/jchimp/article/view/29384/pdf_100left anterior descending arteryWellenanterior myocardial infarctionIschemiaelectrocardiogramT-wave
collection DOAJ
language English
format Article
sources DOAJ
author Laura Hollar
Owen Hartness
Tracey Doering
spellingShingle Laura Hollar
Owen Hartness
Tracey Doering
Recognizing Wellens’ syndrome, a warning sign of critical proximal LAD artery stenosis and impending anterior myocardial infarction
Journal of Community Hospital Internal Medicine Perspectives
left anterior descending artery
Wellen
anterior myocardial infarction
Ischemia
electrocardiogram
T-wave
author_facet Laura Hollar
Owen Hartness
Tracey Doering
author_sort Laura Hollar
title Recognizing Wellens’ syndrome, a warning sign of critical proximal LAD artery stenosis and impending anterior myocardial infarction
title_short Recognizing Wellens’ syndrome, a warning sign of critical proximal LAD artery stenosis and impending anterior myocardial infarction
title_full Recognizing Wellens’ syndrome, a warning sign of critical proximal LAD artery stenosis and impending anterior myocardial infarction
title_fullStr Recognizing Wellens’ syndrome, a warning sign of critical proximal LAD artery stenosis and impending anterior myocardial infarction
title_full_unstemmed Recognizing Wellens’ syndrome, a warning sign of critical proximal LAD artery stenosis and impending anterior myocardial infarction
title_sort recognizing wellens’ syndrome, a warning sign of critical proximal lad artery stenosis and impending anterior myocardial infarction
publisher Taylor & Francis Group
series Journal of Community Hospital Internal Medicine Perspectives
issn 2000-9666
publishDate 2015-10-01
description Wellens’ syndrome, also known as LAD coronary T-wave syndrome or the ‘widow maker’, is a pre-infarction syndrome with non-classical ischemic ECG changes and unremarkable cardiac biomarkers. This syndrome continues to be a ‘can't miss’ for the clinician as delay in urgent angiography and intervention can result in anterior myocardial infarction, left ventricular dysfunction, arrhythmias, and death. We describe a case followed by a discussion of identification criteria and clinical implications.
topic left anterior descending artery
Wellen
anterior myocardial infarction
Ischemia
electrocardiogram
T-wave
url http://www.jchimp.net/index.php/jchimp/article/view/29384/pdf_100
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