Progression From Patterns A to B in Wellens Syndrome

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. (Level of Difficulty: Intermediate.)

Keywords

• Wellens
• syndrome
• acute coronary syndrome
• electrocardiogram
• high-risk patterns
• myocardial infarction