Department of Cardiology & Vascular Medicine, Dr Soetomo General Hospital, Indonesia.
J Pak Med Assoc. 2024 Jun;74(6 (Supple-6)):S73-S76. doi: 10.47391/JPMA.S6-ACSA-14.
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.
Wellens 综合征，即 ST 段抬高型心肌梗死（STEMI）等效，也被称为 T 波左前降支（LAD）冠状动脉疾病。Wellens 综合征的特征是一种独特的心电图（ECG）模式，提示左前降支存在严重狭窄，需要立即干预。在此，我们报告一例患有高血压和慢性阻塞性肺疾病（COPD）病史的 Wellens 综合征患者，由于心电图模式类似于左心室肥厚（LVH）中的左心室应变模式（LVSP），因此可能会被误诊为假性 Wellens 综合征。因此，对于高血压和 COPD 患者，仔细检查近期胸痛和心电图对于区分 Wellens 综合征和 LVSP 非常重要，以便早期发现和积极干预，因为这可能有助于减轻不良后果。
