[Wellens syndrome].
The assessment of chest pain is a routine in emergency health services. Although this is a common complaint with a broad differential diagnosis. the major concern is the possibility of acute coronary syndrome (ACS). Electrocardiography and cardiac enzyme levels are important tools in the investigation of these patients; however. negative results may actually be overlooking the identification of some conditions. We report the case of a female patient with angina. whose baseline tests in the emergency room were negative for changes suggestive of ischemic heart disease. The Wellens syndrome. a recently described disease. is a variant of unstable angina which. if not identified. may result in significant morbidity and mortality.
Appel-da-Silva
Marcelo Campos
MC
Hospital Nossa Senhora da Conceição (HNSC), Porto Alegre, RS, Brazil. marceloappel@yahoo.com.br
Zago
Gabriel
G
Abelin
Aníbal Pereira
AP
Pin
Walter Otávio
WO
Dutra
Oscar Pereira
OP
Vaz
Renato
R
D000368:Aged; D000789:Angina, Unstable / Q000175:diagnosis*; D023921:Coronary Stenosis / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans