Mead Nicole E, O'Keefe Kelly P
Department of Emergency Medicine, University of South Florida, Florida, USA.
J Emerg Trauma Shock. 2009 Sep;2(3):206-8. doi: 10.4103/0974-2700.55347.
Wellen's syndrome is a characteristic T-wave on an electrocardiogram during a pain-free period in a patient with intermittent chest pain. This finding suggests a high-degree stenosis of the proximal left anterior descending (LAD) coronary artery that will soon result in an acute anterior wall myocardial infarction (MI) if the patient is not urgently catheterized and the occlusion opened. This case report discusses a young male patient with no known cardiac disease with an EKG that demonstrates the classic Wellen's T-waves. He was urgently taken to cardiac catheterization and his 95% proximal LAD stenosis was reduced via drug-eluding stent. Through knowledge of Wellen's T-waves, more anterior wall MIs can be prevented.
Wellens综合征是指间歇性胸痛患者在无痛期心电图上出现的特征性T波。这一发现提示左前降支（LAD）冠状动脉近端存在高度狭窄，如果不紧急对患者进行导管插入术并开通闭塞血管，很快就会导致急性前壁心肌梗死（MI）。本病例报告讨论了一名无已知心脏病史的年轻男性患者，其心电图显示出典型的Wellens T波。他被紧急送往心脏导管插入术，通过药物洗脱支架减轻了其LAD近端95%的狭窄。通过了解Wellens T波，可以预防更多的前壁心肌梗死。
