BMJ Case Reports 2013; doi:10.1136/bcr-2013-009323

Wellens’ syndrome in a 24-year-old woman

  1. Fahad Farooqi2
  1. 1Department of Cardiology, BHRUT, Goodmayes, UK
  2. 2Department of Cardiology, BHRUT, Ilford, Essex, UK
  1. Correspondence to Dr Fahad Farooqi, fahad.farooqi{at}


Wellens’ syndrome refers to specific ECG abnormalities in the precordial T-wave segment, which are associated with critical stenosis of the proximal left anterior descending (LAD) coronary artery culminating in an acute anterior wall myocardial infarction (MI) if the patient is not urgently revascularised. We describe the youngest reported presentation of Wellens’ syndrome in a 24-year-old woman with unstable chest pain, characteristic ECG changes and slight troponin biomarker elevation. This was initially unrecognised by the emergency department as unstable coronary syndrome and she subsequently progressed to an anterior non-ST elevation MI (NSTEMI). Her coronary angiogram showed critical narrowing of the proximal LAD which was successfully treated with a drug-eluting stent.

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