Pseudo-Wellens’ syndrome caused by myocardial bridge: a case report
- Author:
Yingxin Zhao
1
Author Information
- Publication Type:Case Reports
- Keywords: Pseudo-Wellens’ syndrome; myocardial bridge
- From: World Journal of Emergency Medicine 2025;16(3):298-300
- CountryChina
- Language:English
- Abstract: Wellens’ syndrome is defined by specific T-wave inversions in the precordial leads of the electrocardiogram (ECG), which are indicative of acute anterior myocardial ischemia caused by severe proximal stenosis of the left anterior descending (LAD) artery. If not promptly treated, approximately 75% of patients with Wellens’ syndrome may experience extensive anterior wall myocardial infarction or sudden cardiac death within days to weeks.[1,2] Although the characteristic ECG changes associated with Wellens’ syndrome are highly suggestive of LAD occlusion, there are rare instances in which similar ECG alterations are observed in the absence of LAD stenosis, a phenomenon referred to as pseudo-Wellens’ syndrome. The precise pathophysiological mechanisms underlying this syndrome remain unclear. Here, we present a patient with a myocardial bridge who presented a typical Wellens’ ECG pattern.
