Wellens Syndrome In Elderly Female: An Ecg Based Warning Of Impending Infarction
DOI:
https://doi.org/10.64252/1pyfse45Keywords:
Wellen’s syndrome, left anterior descending artery syndrome, electrocardiogram findings, myocardial infarction prevention, angioplasty, chest pain evaluation.Abstract
Wellen’s syndrome is a critical electrocardiographic pattern indicative of significant proximal left anterior descending (LAD) artery stenosis, representing a pre-infarction state. The authors report a 76-year-old hypertensive woman presenting with exertion-induced, non-radiating chest pain. ECG during a pain-free interval showed biphasic T waves in V2–V3 with elevated troponin I. Coronary angiography confirmed 95% LAD stenosis. The patient underwent successful percutaneous coronary intervention (PCI) and was started on dual antiplatelet and statin therapy. Early identification of this ECG pattern is crucial, as stress testing is contraindicated due to the high infarction risk. This case underscores the diagnostic importance of Wellen’s syndrome and the role of early invasive management.