Prompt recognition of Wellens' syndrome on ECG is crucial for identifying critical LAD stenosis and preventing fatal outcomes.
Supports ECG vigilance for Wellens' pattern in atypical pain across ages; leaves open generalizability beyond single-case reports.
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.
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Lilaonitkul et al. (2009) studied this question.
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