AI Summary & Key Takeaways
AI InsightIn coronary angiography, 99% critical stenosis was detected in the middle segment of the left anterior descending artery and percutaneous intervention was performed.
📌 3 Key Takeaways
Abstract
Wellens’ syndrome is a clinical picture characterized by T wave changes mostly observed in painless periods on electrocardiography as a result of the critical narrowing of the left anterior descending artery. In our case, a 57-year-old female was admitted to the emergency department with the complaint of intermittent atypical chest pain for two days. In the electrocardiography, negative T waves were observed in the anterior leads defined as Wellens’ syndrome. Cardiac enzyme markers were slightly elevated. The patient was evaluated as an acute coronary syndrome and was taken to the catheter laboratory. In coronary angiography, 99% critical stenosis was detected in the middle segment of the left anterior descending artery and percutaneous intervention was performed.
Özet
Wellens sendromu sol ön inen arterin (LAD) kritik daralmasın neticesinde elektrokardiyografide (EKG) çoğunlukla ağrısız periyodlarda izlenen T dalga değişiklikleri ile seyreden klinik tablodur. Vakamız 57 yaşında bayan hasta iki gündür aralıklı olan atipik göğüs ağrısı şikayeti ile acil servise başvurdu. EKG’de Wellens sendromu olarak tanımladığımız ön yüz derivasyonlarda negatif T dalgaları izlendi. Kardiyak enzim değerinde hafif yüksek tespit edildi. Hasta doğrudan koroner anjiyografi laboratuvarına alındı ve yapılan görüntülemede LAD orta segmentte %99 kritik darlık tespit edildi ve perkütan girişim yapıldı. Hasta komplikasyonsuz olarak taburcu edildi.