Recognition of Wellen's syndrome on EKG is critical as it indicates high-degree proximal LAD stenosis requiring urgent catheterization to prevent acute anterior wall myocardial infarction.
Wellens syndrome on EKG may prompt urgent catheterization to avert anterior MI; this case leaves open generalizability and outcome impact.
Wellen's syndrome is a characteristic T-wave on an electrocardiogram during a pain-free period in a patient with intermittent chest pain. This finding suggests a high-degree stenosis of the proximal left anterior descending (LAD) coronary artery that will soon result in an acute anterior wall myocardial infarction (MI) if the patient is not urgently catheterized and the occlusion opened. This case report discusses a young male patient with no known cardiac disease with an EKG that demonstrates the classic Wellen's T-waves. He was urgently taken to cardiac catheterization and his 95% proximal LAD stenosis was reduced via drug-eluding stent. Through knowledge of Wellen's T-waves, more anterior wall MIs can be prevented.
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Mead et al. (2009) studied this question.
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