RT Journal Article
SR Electronic
T1 Wellens’ syndrome in a 24-year-old woman
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2013009323
DO 10.1136/bcr-2013-009323
VO 2013
A1 Khan, Beenish
A1 Alexander, John
A1 Rathod, Krishnaraj Sinhji
A1 Farooqi, Fahad
YR 2013
UL http://casereports.bmj.com/content/2013/bcr-2013-009323.abstract
AB 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.