Wellens’ syndrome: a case report

Wellens’ syndrome is a condition in which electrocardiographic (ECG) changes indicate critical proximal left anterior descending artery (LAD) narrowing occurring during the chest pain-free period. Due to the severity of the obstruction, if such cases are managed by early invasive revascularisation therapy, a major threat in the form of a massive myocardial infarction or sudden death may be averted. We report the case of a 56-year-old patient admitted to an emergency department, because of a thoracic pain suspicious for angina pectoris. Although the patient had become asymptomatic on admission, his electrocardiogram presented abnormalities (T wave inversion in V1 to V6) suggestive of Wellens’ syndrome. This was confirmed by an immediate