2019, Number 3
Wellens syndrome, a severe form of acute coronary syndrome
Language: Spanish
References: 10
Page: 405-412
PDF size: 747.33 Kb.
ABSTRACT
We present the case of a 41-year-old woman, Mongrel, with a history of high blood pressure, obesity and dyslipidemia who went to the emergency service referring to chest pain, oppression, of intensity 8/10, with radiation to the neck, jaw and left upper limb. Acute chest pain accounts for 5 to 20% of all medical emergencies and this common affectation with a wide differential diagnosis is cause for alarm, so the presence of acute coronary syndrome (ACS) should always be ruled out due to the potential risk that run patients with this entity and its multiple complications. The electrocardiogram and the dosage of cardiac enzymes are important tools in the investigation of patients, however, there are situations in which even in the presence of normal results, there is a serious underlying disease that could go unnoticed.REFERENCES
Zwaan C de, Bär FW, Wellens HJ. Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Am Heart J [en línea]. 1982 [citado 07/03/2019]; 103(4 Pt2):730-6. DOI: doi.org/10.1016/0002-8703(82)90480-X [ Links ]
Zwaan C de, Bar FW, Janssen JH, Cheriex EC, Dassen WR, Brugada P, et al. Angiographic and clinical characteristics of patients with unstable angina show in gan ECG pattern indicating critical narrowing of the proximal LAD coronary artery. Am Heart J [en línea]. 1989 [citado 08/03/2019]; 117(3):657-65. DOI: doi.org/10.1016/0002-8703(89)90742-4 [ Links ]