Wellensov sindrom u bolesnice primljene u hitnu službu nakon prestanka bolova u prsištu uzrokovanih tjelesnom aktivnošću

Wellens’ syndrome, also known as the left anterior descending (LAD) coronary T wave syndrome, is a potentially under-recognized syndrome in emergency room, which can have potentially fatal consequences. It usually consists of typical electrocardiography (ECG) finding in precordial leads that represents significant stenosis of the proximal LAD. Although the syndrome is not included in indications for primary percutaneous coronary intervention (patients with typical ECG findings are usually pain free at the time of recording), every patient with suspicion of typical Wellens’ syndrome should be seen by interventional cardiologist and considered for emergency cardiac catheterization. A case is reported of a patient with no previous medical history of coronary disease and with only one risk factor for cardiovascular disease that presented to emergency room with typical Wellens’ syndrome.Wellensov sindrom, također poznat kao sindrom T vala lijeve prednje silazne koronarne arterije (LAD), je sindrom koji može promaknuti kao neprepoznat u hitnoj službi, a može imati kobne posljedice. Obično se sastoji od znakovitog elektrokardiografskog (EKG) nalaza u prekordijalnim elektrodama, koji predstavlja značajnu stenozu proksimalne LAD. Iako ovaj sindrom nije uključen u indikacije za primarnu perkutanu koronarnu intervenciju (bolesnici s tipičnim nalazom EKG obično nemaju bolove u vrijeme snimanja), svakog bolesnika sa sumnjom na Wellensov sindrom trebalo bi uputiti intervencijskom kardiologu i razmotriti potrebu hitne kateterizacije srca. Opisuje se bolesnica bez prethodne anamneze koronarne bolesti i sa samo jednim rizičnim čimbenikom za kardiovaskularnu bolest, koja je primljena u hitnu službu s tipičnim Wellensovim sindromom