Wellens Syndrome in a patient with a history of hypertension and chronic obstructive pulmonary disease: a case report

Abstract

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). Thus, cautious examination of recent
chest pain and ECG is important to differentiate Wellens
syndrome and LVSP in patients with hypertension and
COPD to perform early detection and aggressive
intervention since they may help to lessen the adverse
results.
Keywords: Coronary Artery Disease, Myocardial,
Electrocardiography, Chest Pain, Hypertrophy,
Arrhythmias, Cardiac