A Classic Pattern of Wellens Syndrome on ECG: A Case Report

Authors

Jesus Romero, Internal Medicine Department. RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ, USA.Follow
Shruti Jesani, Internal Medicine Department. RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ, USA
Ana L. Romero, Internal Medicine Department. RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ, USA
Sherif Elkattawy, Cardiology Department. St. Joseph’s University Medical Center, Paterson, NJ, USA
Jonathan Sookdeo, Internal Medicine Department. St. George’s University, Grenada
Harshwardhan Khandait, Internal Medicine Department. RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ, USA

Abstract

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.

Recommended Citation

Romero, Jesus; Jesani, Shruti; Romero, Ana L.; Elkattawy, Sherif; Sookdeo, Jonathan; and Khandait, Harshwardhan (2023) "A Classic Pattern of Wellens Syndrome on ECG: A Case Report," Journal of Community Hospital Internal Medicine Perspectives: Vol. 13: Iss. 2, Article 12.
DOI: 10.55729/2000-9666.1160
Available at: https://scholarlycommons.gbmc.org/jchimp/vol13/iss2/12