PDF(Pubmed)
Abstract：
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: The case highlights Wellens syndrome in acute critical occlusion with collateral artery.
UNASSIGNED: 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.
UNASSIGNED: The case highlights Wellens syndrome in acute critical occlusion with collateral artery.
摘要：
背景：由于介入治疗的时间，区分急性心肌梗死和Wellens综合征是重要且具有挑战性的。区分亚型的困难可能意味着患者被过度治疗或接受治疗不足。病例报告：一名57岁的男子因急性胸痛被转诊到我们的急诊病房。心电图（ECG）改变提示Wellens综合征A型。服用硝酸甘油，病人的胸痛消失了，我们计划了一个早期侵入性策略。在进行导管插入术之前，他先前有记录的ECG，并且根据第二次ECG变化提示ST抬高。作为侵入性策略的结果，发现有单支血管疾病，左前降支（LAD）与右冠状动脉侧支的中部几乎完全闭塞。在心血管重症监护病房（ICCU）观察两天后，患者病情好转,并转入低监护病房.结论：该病例突出了急性侧支动脉完全闭塞的Wellens综合征。
