Pseudo-Wellens' Syndrome Temporally Associated With Immune Check Point Inhibitors Use.

Am J Med Sci

Department of Internal Medicine, MedStar Washington Hospital Center, Washington, District of Columbia.

Published: January 2020

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http://dx.doi.org/10.1016/j.amjms.2019.07.006DOI 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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