Pseudo-Wellens syndrome in a cocaine user.

Am J Emerg Med

Department of Emergency Medicine, York Hospital, York, PA 17405, USA.

Published: January 2006

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http://dx.doi.org/10.1016/j.ajem.2005.07.017DOI Listing

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Wellens syndrome, an ST Elevation Myocardial Infarction (STEMI) equivalent, is also known as T-wave left anterior descending (LAD) coronary artery disease. Wellens syndrome is characterized by a unique electrocardiogram (ECG) pattern that suggests a significant stenosis in the left anterior descending coronary artery that warrants immediate intervention. Hereby, we present a case report of Wellens syndrome in a patient with a history of hypertension and chronic obstructive pulmonary disease (COPD) that may be potentially mistaken for pseudo- Wellens syndrome because the ECG pattern mimics left ventricular strain pattern (LVSP) in left ventricular hypertrophy (LVH).

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Article Synopsis
  • * PWS is often linked to factors like drug use, stress-induced heart issues, or unknown causes based on past reports.
  • * This case study highlights a unique instance of PWS where "memory T wave" changes were triggered by Paroxysmal Supraventricular Tachycardia (PSVT), a connection not previously documented.
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Introduction: Wellens' syndrome represents an important, at times overlooked, spectrum of left anterior descending (LAD) coronary artery occlusion, spontaneous reperfusion, and impending reocclusion. Once considered pathognomonic for a thromboembolic coronary event, an increasing number of clinical scenarios have been demonstrated to result in pseudo-Wellens' syndrome, each requiring unique forms of assessment and management.

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Pseudo‑Wellens syndrome in an elderly female patient with pulmonary embolism: A case report.

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Pseudo-Wellens syndrome refers to any electrocardiogram (ECG) pattern that mimics Wellens syndrome with no critical left anterior descending (LAD) artery-associated coronary artery disease. The present study describes a rare case of pseudo-Wellens syndrome associated with pulmonary embolism. A female patient presented with chest tightness for 72 h.

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