Stambuk Kresimir, Pavlović Nikola, Manola Sime, Krcmar Tomislav, Pintarić Hrvoje, Delić-Brkljacić Diana
Department of Cardiology, University Department of Medicine, Sestre milosrdnice University Hospital, Zagreb, Croatia.
Acta Clin Croat. 2010 Mar;49(1):73-6.
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.
Wellens综合征，也称为左前降支（LAD）冠状动脉T波综合征，是一种在急诊室可能未被充分认识的综合征，可能会产生潜在的致命后果。它通常表现为胸前导联典型的心电图（ECG）表现，提示LAD近端严重狭窄。尽管该综合征未被纳入直接经皮冠状动脉介入治疗的适应证（典型ECG表现的患者在记录时通常无疼痛症状），但每一位疑似典型Wellens综合征的患者都应由介入心脏病专家诊治，并考虑进行急诊心导管检查。本文报告了一例既往无冠心病病史且仅有一项心血管疾病危险因素的患者，以典型的Wellens综合征就诊于急诊室的病例。
