Intermittent Typical Angina: Remember Wellens’ Syndrome

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Nastasi Marco

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Journal Paper

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Journal: Frontiers in Emergency Medicine Year:2019 | Volume:3 | Issue:3 Page(s): 0-0

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Information Journal Paper

Title

Intermittent Typical Angina: Remember Wellens’ Syndrome

Author(s)

Nastasi Marco | Issue Writer Certificate

Keywords

Case Reports

Chest Pain

Coronary Angiography

Electrocardiography

Wellens’

Syndrome

Abstract

Introduction: We describe a patient without a history of cardiovascular diseases as an example of Wellens’; Syndrome (WS). Case Report: A 65-year-old man presented to emergency department due to intermittent Chest Pain. Physical examination and chest x-ray were unremarkable. Electrocardiogram (ECG) showed biphasic Twave in precordial leads V1-V4. Primary cardiac serum biomarkers including high-sensitive cardiac troponin T (hs-cTnT) and CK-MB were slightly elevated, that further assessment did not show any increases; while ECG recorded during a pain period revealed T-wave pseudo-normalization. The patient underwent Coronary Angiography that revealed a proximal left anterior descending artery lesion. Conclusion: WS is a diagnostic and management challenge and serial ECG evaluation is still essential for a possible acute coronary Syndrome. Having knowledge of all subtle features of this Syndrome, could avoid improper discharge of high-risk patients. Definitely, accurate risk stratification, and prompting these patients to an early coronary angiogram and treatment are mandatory to avoid development of a massive anterior myocardial infarction.

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APA: Copy

Nastasi, Marco. (2019). Intermittent Typical Angina: Remember Wellens’ Syndrome. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, 3(3), 0-0. SID. https://sid.ir/paper/351093/en

Vancouver: Copy

Nastasi Marco. Intermittent Typical Angina: Remember Wellens’ Syndrome. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE[Internet]. 2019;3(3):0-0. Available from: https://sid.ir/paper/351093/en

IEEE: Copy

Marco Nastasi, “Intermittent Typical Angina: Remember Wellens’ Syndrome,” (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, vol. 3, no. 3, pp. 0–0, 2019, [Online]. Available: https://sid.ir/paper/351093/en

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