The Curious Case of Pseudo-Wellens' Syndrome and Myocardial Bridging. (January 2022)

• Record Type: Journal Article
• Authors: Milne, David; Ramadhin, Divya; Seecheran, Rajeev; Seecheran, Valmiki; Henry, Ronald; Seecheran, Naveen Anand
• Is Part Of: Journal of investigative medicine high impact case reports. Volume 10(2022)
• Publication Date: 2022-01
• Subjects: Pseudo-Wellens' syndrome -- Wellens' syndrome -- myocardial bridging -- myocardial bridge; Internal medicine -- Periodicals; Medical care -- Periodicals; 616.005
• DOI: 10.1177/23247096211073255
• Languages: English
• ISSNs: 2324-7096

Abstract

Wellens' syndrome is an electrocardiographic harbinger of a critical left anterior descending (LAD) coronary artery stenosis in acute coronary syndromes (ACS), whereas pseudo-Wellens' syndrome typically has angiographically normal coronary arteries. Myocardial bridging (MB) occurs when an epicardial coronary artery segment takes a tunneled intramuscular course. We describe a rare case of MB-induced pseudo-Wellens' syndrome in a young patient presenting with unstable angina (USA).