Ann Med Med Res | Volume 5, Issue 1 | Case Report | Open Access

A Special Case of Wellens Syndrome (With Significant Increase of Myocardial Enzyme Markers)

Zhang W*, Dong B, Wei J and Mu Q

Department of Cardiology, Binzhou Medical University Hospital, China

*Correspondance to: Weiwei Zhang 

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Abstract

Wellens syndrome, also known as left anterior descending coronary T wave syndrome, is an
Electrocardiogram (ECG) pattern that indicates severe proximal stenosis of the left anterior
descending coronary artery. It is characterized by intermittent chest pain with typical ECG changes.
The chest leads of patients with unstable angina pectoris showed deep inverted T wave or biphasic
T wave. This characteristic ECG pattern is a sign of impending myocardial infarction. Cardiac
biomarkers are within the normal range, or only slightly elevated in this case. This case will introduce
a special case of Wellens syndrome, which has typical ECG findings, and the coronary angiography
results show that 95% of the Left Anterior Descending branch (LAD) is stenotic, and the myocardial
enzyme markers are significantly elevated at admission. It can be said that it has met the diagnostic
criteria for non-ST segment elevation myocardial infarction.

Keywords:

Wellens syndrome; NATE-ACS; Myocardial infarction

Citation:

Zhang W, Dong B, Wei J, Mu Q. A Special Case of Wellens Syndrome (With Significant Increase of Myocardial Enzyme Markers). Ann Med Medical Res. 2022; 5: 1052..

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