Journal of Investigative Medicine High Impact Case Reports (Jan 2022)

The Curious Case of Pseudo-Wellens’ Syndrome and Myocardial Bridging

  • David Milne MBBS,
  • Divya Ramadhin MBBS,
  • Rajeev Seecheran,
  • Valmiki Seecheran MBBS, MSc,
  • Ronald Henry MBBS, FACC, FESC, FSCAI,
  • Naveen Anand Seecheran MBBS (MD), MSc, FACP, FRCP(E), FACC, FESC, FSCAI

DOI
https://doi.org/10.1177/23247096211073255
Journal volume & issue
Vol. 10

Abstract

Read online

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).