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2019, Number 3

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RIC 2019; 98 (3)

Wellens syndrome, a severe form of acute coronary syndrome

Goire GG, Arias OY, Alberna CA
Full text How to cite this article

Language: Spanish
References: 10
Page: 405-412
PDF size: 747.33 Kb.


Key words:

acute coronary syndrome, Wellens syndrome, acute unstable angina, cardiac enzymes.

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

  1. Mai H, Lan X, Lu D, et al. Wellens' Syndrome with a proximal left anterior descending artery occlusion. Clin Case Rep [en línea]. 2016 [citado 07/03/2019]; 4:558-60. DOI: 10.1002/ccr3.479 [ Links ]

  2. 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 ]

  3. Patel K, Alattar F, Koneru J, et al. ST-Elevation myocardial infarction after pharmacologic persantine stress test in a patient wellens' syndrome. Case Rep Emerg Med [en línea]. 2014 [citado 07/03/2019]; 2014:530451. DOI: 10.1155/2014/530451 [ Links ]

  4. Raheja P, Sekhar A, Lewis D. Wellens' syndrome over the past three decades. J Cardiovasc Med (Hagerstown) [en línea]. 2017 [citado 07/03/2019]; 18:803-804. DOI: 10.2459/JCM.0b013e32835ffbf8 [ Links ]

  5. Ozdemir S, Cimilli Ozturk T, Eyinc Y, et al. Wellens' Syndrome Report of two cases. Turk J Emerg Med [en línea]. 2016 [citado 08/03/2019]; 15:179-81. DOI: 10.1016/j.tjem.2014.07.002 [ Links ]

  6. 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 ]

  7. Carvajal CA, Ardila DJ. Síndrome de Wellens: reconociendo el peligro. Rev Colomb Cardiol [en línea]. 2015 [citado 08/03/2019]; 22:244-8. DOI: doi.org/10.1016/j.rccar.2015.04.002 [ Links ]

  8. Jaiswal D, Boudreau D. An incidental case of Wellens' syndrome in a community emergency department. Worl J Emer Med [en línea]. 2016 [citado 08/03/2019]; 7:153-6. DOI: 10.5847/wjem.j.1920-8642.2016.02.012 [ Links ]

  9. Win HtutOo SZ, Khalighi K, Kodali A, et al. Omnious T-wave inversions: Wellens' syndrome revisited. J Comm Hosp Int Med Pers [en línea]. 2016 [citado 09/03/2019]; 6:32011. DOI: 10.3402/jchimp.v6.32011 [ Links ]

  10. Corrao S, Amico S, Calvo L, Barone E, Licata G. An uncommon clinical picture: Wellens' syndrome in a morbidly obese young man. Worl Int Emer Med [en línea]. 2010 Oct [citado 09/03/2019]; 5(5):443-445. DOI: doi.org/10.1007/s11739-010-0374-9 [ Links ]




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RIC. 2019;98