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08-12-2015 | Rhythm Puzzle - Answer | Uitgave 5/2016 Open Access

Netherlands Heart Journal 5/2016

Electrocardiogram: the saviour for this patient

Tijdschrift:
Netherlands Heart Journal > Uitgave 5/2016
Auteurs:
A. Chawla, S. Swarup, V. Gaikwad
The ECG shows a regular rhythm with mildly elevated ST segment in the precordial leads. There is a biphasic T wave in V1 and V2 leads suspicious for Wellens syndrome. The patient refused an invasive procedure, hence a coronary CT angiography was performed that showed severe stenosis in the proximal left anterior descending artery (LAD) (Fig. 1). Subsequently, he agreed to catheter angiography that confirmed the CT findings (Fig. 2). The lesion was treated by placement of a stent. The Wellens ECG is an ominous sign of severe proximal LAD stenosis that can cause a large anterior wall myocardial infarct if left untreated [1]. Hence it is imperative that the emergency physician is aware of this pattern of ECG to prevent myocardial damage by promptly ordering a cardiac catheterisation.
Conflict of interest
The authors have no conflict of interest related to this report.

Open Access

This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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