Case Report: Wellens syndrome in acute critical coronary occlusion saved by collateral.

ABSTRACT:

Background

It is important and challenging to distinguish between acute myocardial infarction and Wellens syndrome due to its time to intervention. Difficulties in differentiating between subtypes could mean the patients are overtreated or receive undertreatment.

Case report

A 57-year-old man was referred to our emergency ward with acute onset of chest pain. Electrocardiograms changes were suggestive of type A Wellens syndrome. Nitroglycerin was administrated, the patient's chest pain disappeared, and we planned an early invasive strategy. He had a previous documented electrocardiogram before he went for catheterization and based on the second electrocardiogram changes were suggestive of an ST-elevation. As the result of the invasive strategy, it was found that there was sin

SUBMITTER: Alsagaff MY 

PROVIDER: S-EPMC11301133 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature