Introduction: Chest pain is a common presenting complaint in the emergency centre (EC), with a very wide differential diagnosis. Evaluation of patients with chest pain in the EC is geared toward rapidly identifying and treating the subset of patients with potentially life-threatening causes, including acute coronary syndromes. ECG and cardiac biomarkers are indispensable tools in this endeavor. Case report: A 47 year old African woman presented to the EC with chest pain; her ECG revealed findings typical of Wellens' syndrome. Subsequent coronary angiography revealed near-total proximal LAD occlusion. Discussion: Wellens' syndrome refers to a pre-infarction stage of acute coronary syndrome with distinct ECG T-wave changes that strongly predict the presence of critical LAD coronary artery stenosis; it is a harbinger of impending extensive anterior myocardial infarction. Emergency physicians must be able to recognize its ECG features and institute appropriate intervention.




T., G., & L., H. (2014). The sick LADy who cried wolf: A case of Wellens’ syndrome presenting in the shadow of chronic sickle cell pain. African Journal of Emergency Medicine, 4(3), 123–126. https://doi.org/10.1016/j.afjem.2013.11.002 LK  - http://rug.on.worldcat.org/atoztitles/link/?sid=EMBASE&issn=2211419X&id=doi:10.1016%2Fj.afjem.2013.11.002&atitle=The+sick+LADy+who+cried+wolf%3A+A+case+of+Wellens%27+syndrome+presenting+in+the+shadow+of+chronic+sickle+cell+pain&stitle=&title=African+Journal+of+Emergency+Medicine&volume=4&issue=3&spage=123&epage=126&aulast=Gede&aufirst=Tinashe&auinit=T.&aufull=Gede+T.&coden=&isbn=&pages=123-126&date=2014&auinit1=T&auinitm=

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free