Wellens Sendromu: Kritik Sol Ön İnen Koroner Arter Darlığı

Year 2016, Volume: 17 Issue: 2, 110 - 112, 01.08.2016

Nuri Köse Fatih Akın İbrahim Altun

Abstract

Wellens sendromu (WS) sol ön inen arterin kritik daralması ile ilişkili elektrokardiyografik (EKG) T dalga değişiklikleri paternidir. EKG değişiklikleri V2-4 prekordiyal derivasyonlarda derin, simetrik veya bifazik T dalgaları olarak tariflenir. Bu sendromda T dalga değişiklikleri genellikle ağrısız dönemde oluşur. Bu değişikliklerin sebebi tam bilinmemektedir. Bu gözlenen T dalga değişiklikleri infarktüs öncesi bulgu olup anterior miyokard infarktüsüne ilerleyebilir. Bu sendrom ile başvuran olgulara provakatif test yapılmaksızın direk koroner anjiyografi planlanmalıdır. Erken koroner revaskülarizasyon yapılmadığı zaman mortalite ve morbidite sebebi olabilir. WS’ye günlük klinik pratikte sık rastlanmasına rağmen kardiyoloji kitaplarında nadiren tariflenmiştir. Amacımız WS’nin klinik önemine dikkati çekmektir. WS ile acil servise başvuran 44 yaşında bir erkek hastayı sunuyoruz

Keywords

Akut koroner sendrom, elektrokardiyografi, koroner anjiyograf

Wellens’ Syndrome: Critical Left Anterior Descending Artery Stenosis

Abstract

Wellens’ syndrome (WS) is a pattern of electrocardiographic (ECG) T-wave changes associated with critical narrowing of the left anterior descending artery. ECG changes are described as deeply-inverted or symmetrical or biphasic T waves in V2-V4. T wave changes in the syndrome usually occur during a pain-free interval. The origin of these changes is unclear. These T wave changes are the sign of preinfarctional state and can progress to myocardial infarction. Coronary angiography should be planned for patients presenting with this syndrome without performing provocative tests. There is an increased risk for morbidity and mortality in the absence of urgent coronary revascularization. Although WS is frequently encountered in the daily clinical practice, it is rarely described in cardiology books. Our aim was to point out the clinical importance of WS. We report the case of a 44-year-old male patient who presented to the emergency department with WS.

Keywords

Acute coronary syndrome, electrocardiography, coronary angiography

References

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