Rare Case of Wellens syndrome progressing from type A to classic type B Wellens pattern: A report
USA: A recent case study published in Cardiovascular Revascularization Medicine describes a case of Wellens syndrome that initially presented with very subtle ECG T wave changes indicating Wellens pattern A that progressed into classic pattern B with T wave inversions.
"A very low threshold of suspicion and serial electrocardiograms (ECGs) were imperative to the early recognition of such a critical cardiovascular disease (CVD)," Mohammed J. Arisha, Charleston Area Medical Center/West Virginia University Charleston Division, Charleston, USA, and colleagues wrote stated in their case study.
Wellens syndrome is a well-known clinical syndrome with characteristics of specific ECG patterns usually suggestive of a critical proximal LAD (left anterior descending) coronary artery stenosis and needs early revascularization. The literature describes two Wellens ECG patterns (A and B). Studies showed that Wellens syndrome could evolve from pattern A into pattern B; however, a lack of reported cases described this phenomenon.
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