PMID- 21945509
OWN - NLM
STAT- MEDLINE
DCOM- 20130212
LR  - 20181201
IS  - 0736-4679 (Print)
IS  - 0736-4679 (Linking)
VI  - 43
IP  - 3
DP  - 2012 Sep
TI  - Aborted myocardial infarction in a patient with rapid progression of Wellens 
      syndrome.
PG  - e181-4
LID - 10.1016/j.jemermed.2011.05.070 [doi]
AB  - BACKGROUND: Wellens syndrome refers to a distinct electrocardiographic pattern of 
      deeply inverted or biphasic T waves in the anterior precordial leads, in the 
      presence of critical proximal stenosis of the left anterior descending coronary 
      artery (LAD). The natural history of the syndrome is an extensive myocardial 
      infarction within weeks of hospital admission. CASE REPORT: This report describes 
      a 63-year-old man in whom typical electrocardiographic signs of Wellens syndrome 
      advanced to persistent ST-segment elevation within 7min of presentation. 
      Extensive anterior myocardial infarction (AMI) was aborted by primary 
      percutaneous coronary intervention of a sub-occluded proximal LAD. CONCLUSION: 
      Given the large area of the left ventricle supplied by a sub-occluded LAD, 
      devastating AMI could have been expected and may have resulted in serious 
      ventricular dysfunction and death. Therefore, early recognition of Wellens 
      syndrome is essential and can be lifesaving.
CI  - Copyright (c) 2012 Elsevier Inc. All rights reserved.
FAU - Stankovic, Ivan
AU  - Stankovic I
AD  - Department of Cardiology, Clinical Hospital Center Zemun, Faculty of Medicine, 
      University of Belgrade, Belgrade, Serbia.
FAU - Vlahovic-Stipac, Alja
AU  - Vlahovic-Stipac A
FAU - Ilic, Ivan
AU  - Ilic I
FAU - Putnikovic, Biljana
AU  - Putnikovic B
FAU - Neskovic, Aleksandar N
AU  - Neskovic AN
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20110925
PL  - United States
TA  - J Emerg Med
JT  - The Journal of emergency medicine
JID - 8412174
RN  - 0 (Platelet Aggregation Inhibitors)
RN  - A74586SNO7 (Clopidogrel)
RN  - OM90ZUW7M1 (Ticlopidine)
RN  - R16CO5Y76E (Aspirin)
SB  - IM
MH  - Aspirin/therapeutic use
MH  - Clopidogrel
MH  - Coronary Stenosis/complications/*diagnosis/therapy
MH  - Early Diagnosis
MH  - *Electrocardiography
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*diagnosis/etiology/therapy
MH  - Percutaneous Coronary Intervention
MH  - Platelet Aggregation Inhibitors/therapeutic use
MH  - Syndrome
MH  - Ticlopidine/analogs & derivatives/therapeutic use
EDAT- 2011/09/29 06:00
MHDA- 2013/02/13 06:00
CRDT- 2011/09/28 06:00
PHST- 2010/10/17 00:00 [received]
PHST- 2011/01/29 00:00 [revised]
PHST- 2011/05/29 00:00 [accepted]
PHST- 2011/09/28 06:00 [entrez]
PHST- 2011/09/29 06:00 [pubmed]
PHST- 2013/02/13 06:00 [medline]
AID - S0736-4679(11)00638-X [pii]
AID - 10.1016/j.jemermed.2011.05.070 [doi]
PST - ppublish
SO  - J Emerg Med. 2012 Sep;43(3):e181-4. doi: 10.1016/j.jemermed.2011.05.070. Epub 
      2011 Sep 25.