WELLENS SYNDROME:RECOGNIZE EARLY TO AVOID LIFE THREATENING CATASTROPHE

Wellens syndrome is an electrocardiographic pattern involving T waves in precordial leads in a group of patients presenting with unstable angina suggestive of critical stenosis of the proximal left anterior descending coronary artery (LAD).It is very crucial for attending physicians to be able to recognize these patterns because failure to do so can lead to life threatening catastrophe and devastating outcome.Here we report a case of a type A wellens syndrome with subtle T wave changes that went unnoticed during the initial assessment and led to anterior wall myocardial infarction.