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=