The ‘widow maker’: Electrocardiogram features that should not be missed

  • M Yusuf Muharam
  • R Ahmad
  • Harmy MY
Keywords: Wellen’s syndrome, widow maker, myocardial infarction

Abstract

Patients with Wellen’s syndrome often present with chest pain and found to have specific precordial T-wave changes on the electrocardiogram (ECG). They subsequently develop a large anterior wall myocardial infarction. These specific electrocardiographic abnormalities are associated with critical stenosis of the proximal left anterior descending coronary artery (LAD). This syndrome is often under-recognised and has fatal consequences; it is, therefore, also known as the widow maker. We highlight a case of a 39-year old gentleman who had a history of coronary artery disease and typical ECG characteristics of Wellen’s syndrome.

References

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Published
2012-03-31
Section
Articles