title: A dangerous twist of the 'T' wave: A case of Wellens' Syndrome.
abstract: Wellens' syndrome is a condition in which electrocardiographic (ECG) changes indicate critical proximal left anterior descending artery 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 present the case of a patient with previous chest pain, whose ECG showing subtle ischemic changes was initially overlooked. A repeat ECG taken during the painless period showed a biphasic T wave, suggestive of Wellen's' syndrome. This was confirmed by an immediate coronary angiogram.
authors.affiliation: Indira Gandhi Medical College & Research Institute.
authors.forename: Kavitha
authors.initials: K
authors.lastname: Balasubramanian
authors.forename: Ramachandran
authors.initials: R
authors.lastname: Balasubramanian
authors.forename: Anandaraja
authors.initials: A
authors.lastname: Subramanian
keywords: Wellens’ syndrome; electrocadiographic changes; left anterior descending artery obstruction; revascularisation