Why the study?
Timely recognition and management of Wellens syndrome patterns on ECG is important to prevent fatal outcomes, as the pattern is highly specific for severe LAD stenosis.
This case highlights the importance of timely recognition of the Type A Wellens Syndrome ECG pattern to identify severe LAD stenosis and prevent fatal outcomes.
Prompt recognition of Wellens patterns remains essential in ACS; this case supports awareness but should not change practice.
Wellens syndrome is usually diagnosed in asymptomatic patients with normal or only slightly elevated cardiac enzymes. There are two different ECG patterns (Type A and Type B) described in the literature. Earlier studies demonstrated that the appearance of the Wellens pattern had a specificity of 89% and a positive predictive value of 86% for severe stenosis of the left anterior descending artery (LAD) hence a timely recognition and therapeutic approach may prevent fatal outcomes in the patients. Here we are presenting a case of a 69-year-old gentleman with chest pain and Type A Wellens Syndrome pattern on ECG who was found to have LAD stenosis.
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Romero et al. (2023) studied this question.
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