RAPID PROGRESSION OF WELLENS SYNDROME IN THE EMERGENCY DEPARTMENT

Background: In 1982, Wellens and colleagues described characteristic electrocardiogram (ECG) findings in angina patients virtually pathognomonic for significant stenosis of the proximal left anterior descending coronary artery and associated with a high risk of acute anterior wall myocardial infarction. Case Report: We present the case of a 74-year-old emergency department patient with classic ECG findings of Wellens syndrome and progression to acute ST elevation within 55 min. Summary: We present this case to increase awareness among emergency physicians of the characteristic findings of Wellens syndrome. (C) 2012 Elsevier Inc.