• J Emerg Med · Oct 2012

    Case Reports

    Rapid progression of Wellens syndrome in the emergency department.

    • Brian Donahue, Shu B Chan, and Steve Bhandarkar.
    • Emergency Medicine Residency Program, Resurrection Medical Center, Chicago, Illinois 60631, USA.
    • J Emerg Med. 2012 Oct 1;43(4):667-70.

    BackgroundIn 1982, Wellens and colleagues described characteristic electrocardiogram (ECG) findings in angina patients virtually pathognomonic for significant stenosis of the proximal left anterior descending coronary artery and associated with a high risk of acute anterior wall myocardial infarction.Case ReportWe present the case of a 74-year-old emergency department patient with classic ECG findings of Wellens syndrome and progression to acute ST elevation within 55 min.SummaryWe present this case to increase awareness among emergency physicians of the characteristic findings of Wellens syndrome.Copyright © 2012 Elsevier Inc. All rights reserved.

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