Key result
Medical therapy resolves pseudo-Wellens' syndrome and normalizes ECG in myocardial bridging.
Case Report (n=1)
No
Highlights myocardial bridging as a potential anatomical etiology for pseudo-Wellens' syndrome in young patients presenting with unstable angina, which can be successfully managed with medical therapy.
Medical therapy may resolve myocardial bridging-induced pseudo-Wellens' syndrome; this single case leaves open the need for prospective confirmation.
Wellens' syndrome is an electrocardiographic harbinger of a critical left anterior descending (LAD) coronary artery stenosis in acute coronary syndromes (ACS), whereas pseudo-Wellens' syndrome typically has angiographically normal coronary arteries. Myocardial bridging (MB) occurs when an epicardial coronary artery segment takes a tunneled intramuscular course. We describe a rare case of MB-induced pseudo-Wellens' syndrome in a young patient presenting with unstable angina (USA).
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Milne et al. (2022) conducted a case report in Myocardial bridging-induced pseudo-Wellens' syndrome (n=1). Medical management (perindopril, amlodipine, atorvastatin, carvedilol) was evaluated on Symptom resolution and ECG normalization. Medical therapy with antianginal and neurohormonal agents successfully resolved symptoms and normalized the ECG in a 32-year-old patient with myocardial bridging-induced pseudo-Wellens' syndrome.
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