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Kronik Esrar Kullanımı Olan Hastada Wellens Sendromu

Year 2020, , 50 - 53, 01.03.2020
https://doi.org/10.38175/phnx.689283

Abstract

Madde bağımlılığı, fiziksel, ruhsal sosyal sorunlara yol açan tüm yaşlarda görülebilen bir toplumsal problemdir. 25 yıl kronik esrar kullanımı olan altmış bir yaşında erkek hastada elektrokardiyografi (EKG) bulgularına göre wellens sendromu düşünüldü. Hastanın acil koroner girişim sonrası LAD total oklüzyonu saptandı. Koroner total oklüzyon olmadan görülen ve oklüzyonu haber veren wellens sendromunun esrar kullanımı ile birlikteliği literatürde daha önce bildirilmedi. Esrar kullanımı olan hastalarda da bu sendromun düşünülmesi hızla mortaliteye yolaçması açısından düşünülmesi gerekmektedir.

References

  • 1. DE ZWAAN C, Bär FW, Wellens HJ. Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Am Heart J. 1982; 103:730–736.
  • 2. DE ZWAAN C, Bär FW, Janssen JH, Cheriex EC, Dassen WR, Brugada P, Penn OC, Wellens HJ. Angiographic and clinical characteristics of patients with unstable angina showing an ECG pattern indicating critical narrowing of the proximal LAD coronary artery. Am Heart J. 1989; 117:657–665.
  • 3. RHİNEHARDT J, Brady WJ, Perron AD, Mattu A. Electrocardiographic manifestations of Wellens’ syndrome. Am J Emerg Med. 2002; 20:638–643.
  • 4. Nüfusta Tütün, Alkol ve Madde Kullanımına Yönelik Tutum ve Davranış Araştırması (TUBİM GPS Araştırması) 2018.
  • 5. AUFDERHEİDE TP, Gibler WB. Acute ischemic coronary syndromes. In: Rosen P, Barkin R, editors. Emergency Medicine: Concepts and Clinical Practice, 4th St Louis: Mosby-Year Book; 1998.P.1688-91.
  • 6. OMAR Al-assaf , Mouayad Abdulghani, Anas Musa, Muna AlJallaf. Wellen’s Syndrome: The Life-Threatening Diagnosis. Circulation. 2019;140:1851–1852.

Wellens’ Syndrome in a Patient with Chronic Cannabis Use

Year 2020, , 50 - 53, 01.03.2020
https://doi.org/10.38175/phnx.689283

Abstract

Substance abuse is a social problem that can be seen at all ages, leading to physical and mental social problems. According to the electrocardiographic (ECG) findings, a sixty-one-year-old male patient with 25 years of chronic cannabis use was considered wellens’ syndrome. LAD total occlusion was detected after the patient's emergency coronary intervention. The association of wellens’ syndrome, seen without coronary total occlusion and informing occlusion, with cannabis use has not been reported in the literature before. The thought of this syndrome in patients with cannabis use should be considered in terms of causing mortality rapidly.

References

  • 1. DE ZWAAN C, Bär FW, Wellens HJ. Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Am Heart J. 1982; 103:730–736.
  • 2. DE ZWAAN C, Bär FW, Janssen JH, Cheriex EC, Dassen WR, Brugada P, Penn OC, Wellens HJ. Angiographic and clinical characteristics of patients with unstable angina showing an ECG pattern indicating critical narrowing of the proximal LAD coronary artery. Am Heart J. 1989; 117:657–665.
  • 3. RHİNEHARDT J, Brady WJ, Perron AD, Mattu A. Electrocardiographic manifestations of Wellens’ syndrome. Am J Emerg Med. 2002; 20:638–643.
  • 4. Nüfusta Tütün, Alkol ve Madde Kullanımına Yönelik Tutum ve Davranış Araştırması (TUBİM GPS Araştırması) 2018.
  • 5. AUFDERHEİDE TP, Gibler WB. Acute ischemic coronary syndromes. In: Rosen P, Barkin R, editors. Emergency Medicine: Concepts and Clinical Practice, 4th St Louis: Mosby-Year Book; 1998.P.1688-91.
  • 6. OMAR Al-assaf , Mouayad Abdulghani, Anas Musa, Muna AlJallaf. Wellen’s Syndrome: The Life-Threatening Diagnosis. Circulation. 2019;140:1851–1852.
There are 6 citations in total.

Details

Primary Language Turkish
Subjects Emergency Medicine
Journal Section Case Reports
Authors

Mustafa Öztürk 0000-0003-3561-6377

Rana Akkoyun 0000-0001-9784-6405

Sunay Yıldırım 0000-0003-4515-1358

Selman Yeniocak 0000-0002-1124-396X

Publication Date March 1, 2020
Submission Date February 14, 2020
Acceptance Date February 24, 2020
Published in Issue Year 2020

Cite

Vancouver Öztürk M, Akkoyun R, Yıldırım S, Yeniocak S. Kronik Esrar Kullanımı Olan Hastada Wellens Sendromu. Phnx Med J. 2020;2(1):50-3.

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