@article{ajmcr20197119,
author={{Kariyanna, Pramod Theetha and Yusupov, Denis and Ramalanjaona, Benjamin and Jayarangaia, Apoorva and Al-Sadawi, Mohammed and McFarlane, Isabel. M.},
title={WellensĄŻ Syndrome in a HIV-positive Patient: A Case Report},
journal={American Journal of Medical Case Reports},
volume={7},
number={11},
pages={297--300},
year={2019},
url={http://pubs.sciepub.com/ajmcr/7/11/9},
issn={2374-216X},
abstract={Patients with human immunodeficiency virus (HIV) are at higher risk for coronary artery disease, due to accelerated atherosclerosis resulting from chronic inflammation, the prevalence of cardiovascular risk factors and the side effects of highly active antiretroviral therapy (HAART). The WellensĄŻ pattern  is an electrocardiographic (ECG) finding that represents critical proximal left anterior descending (LAD) coronary artery stenosis that, that when is not promptly treated, can lead to extensive anterior wall myocardial infarction and death. Very few cases of WellensĄŻ syndrome in HIV positive patients have been reported. We present a case of WellensĄŻ syndrome in a 38-year-old male with HIV on HAART and hyperlipidemia, as his only traditional cardiovascular risk factor. Recognition of the characteristic biphasic T-waves in V2 and V3 on ECG in the setting of typical angina and elevated troponin levels directed the clinicians to proceed with an emergent cardiac catheterization and percutaneous coronary intervention with drug eluting stent placement in the proximal left anterior descending artery (LAD). Physicians should recognize WellensĄŻ syndrome as it indicates critical LAD stenosis requiring intervention. HIV positive patients can present with WellensĄŻ sign at a younger age, indicating premature coronary artery disease (CAD) in this population.},
doi={10.12691/ajmcr-7-11-9}
publisher={Science and Education Publishing}
}