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

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. A 57-year-old man was referred to our emergency...

Full description

Saved in:
Bibliographic Details
Published in:F1000 research 2022, Vol.11, p.1486
Main Authors: Alsagaff, Mochamad Yusuf, Putra, Tony Santoso, Khrisna, Bagus Putra Dharma, Nugraha, Ricardo Adrian
Format: Article
Language:English
Subjects:
Chest Pain
Collateral Circulation
Coronary Angiography
Coronary Occlusion - complications
Coronary Vessels - physiopathology
Electrocardiography
Humans
Male
Middle Aged
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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. 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 single-vessel disease, critical occlusion in the middle of the left anterior descending artery coronary artery with collateral from the right coronary artery. After two days of observation in the Intensive Cardiovascular Care Unit, the patient improved and was transferred to Low Care Unit. The case highlights Wellens syndrome in acute critical occlusion with collateral artery.
ISSN:2046-1402
2046-1402
DOI:10.12688/f1000research.125820.2