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Case Reports
. 2023 Oct 30:28:102094.
doi: 10.1016/j.jaccas.2023.102094. eCollection 2023 Dec 20.

Progression From Patterns A to B in Wellens Syndrome: Electrocardiographic Progression in Wellens Syndrome

Edwin A Rodríguez  1   2 , Anali Salva  1   2 , José M Aladio  1   2 , Diego Costa  1   2 , Sandra P Swieszkowski  1   2
Affiliations
Case Reports

Progression From Patterns A to B in Wellens Syndrome: Electrocardiographic Progression in Wellens Syndrome

Edwin A Rodríguez et al. JACC Case Rep. .

Abstract

We describe a clinical case series of 3 patients whose electrocardiogram evolved from type A Wellens syndrome to a type B. We emphasize that the diagnosis and treatment for both patterns is the same and that these findings suggest the evolution of the same disease.

Keywords: Wellens; acute coronary syndrome; electrocardiogram; high-risk patterns; myocardial infarction; syndrome.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
The 12-Lead Electrocardiogram at the Time of Admission, Showing a Wellens Type A Pattern
Figure 2
Figure 2
The 12-Lead Electrocardiogram 6 Hours After the First Electrocardiogram Showing a Wellens Type B Pattern
Figure 3
Figure 3
Coronary Angiography Showing Severe Middle Left Anterior Descending Stenosis
Figure 4
Figure 4
The 12-Lead Electrocardiogram at the Time of Admission Showing a Type A Wellens Pattern
Figure 5
Figure 5
The 12-Lead Electrocardiogram Showing a Type B Wellens Pattern 12 Hours After the First Electrocardiogram
Figure 6
Figure 6
Coronary Angiography Shows a Severe Lesion in the Middle of the Anterior Descending Artery
Figure 7
Figure 7
The 12-Lead Electrocardiogram at the Time of Admission Showing a Type A Wellens Pattern
Figure 8
Figure 8
The 12-Lead Electrocardiogram Showing a Type B Wellens Pattern 6 Hours After the First Electrocardiogram
Figure 9
Figure 9
Coronary Angiography Shows a Severe Lesion in the Middle of the Anterior Descending Artery
Figure 10
Figure 10
Correlation Between the Wellens Pattern and the Compromise of the Left Anterior Descending Artery
See this image and copyright information in PMC

References

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