Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 10, Number 7, July 2019, pages 193-197

Wellens’ Syndrome: An Atypical Localization After an Atypical Transient Left Bundle Branch Block Presentation


Figure 1.
Figure 1. ECG initial presentation.
Figure 2.
Figure 2. ECG 1 h after.
Figure 3.
Figure 3. ECG 33 h after.
Figure 4.
Figure 4. Coronary angiography with stent deployment.
Figure 5.
Figure 5. ECG 2 weeks after.
Figure 6.
Figure 6. ECG 4 months after.


Table 1. Criteria for Wellens’ Syndrome
Criteria for Wellens’ syndrome
Wellens’ type A or type B wave(s) in leads V2 and V3, occasionally in leads V1-V6
Recent history of angina
Pattern present during pain-free state
Isoelectric or minimally elevated (< 1 mm) ST segment
No precordial Q waves and preserved R wave progression
Normal or slightly elevated cardiac serum markers