title: Rapid progression of Wellens syndrome in the emergency department.
abstract: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  We present this case to increase awareness among emergency physicians of the characteristic findings of Wellens syndrome.
authors.affiliation: Emergency Medicine Residency Program, Resurrection Medical Center, Chicago, Illinois 60631, USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Donahue
authors.forename: Shu B
authors.initials: SB
authors.lastname: Chan
authors.forename: Steve
authors.initials: S
authors.lastname: Bhandarkar
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization; D002637:Chest Pain / Q000209:etiology; D023921:Coronary Stenosis / Q000150:complications / Q000503:physiopathology* / Q000628:therapy; D003328:Coronary Thrombosis / Q000150:complications / Q000503:physiopathology* / Q000628:therapy; D004562:Electrocardiography; D004632:Emergency Medical Services; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology* / Q000628:therapy; D015607:Stents; D013577:Syndrome