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Updated: Jun 11, 2026

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
Published on: September 19, 2019
Rapid progression of Wellens syndrome in the emergency department
Brian Donahue1, Shu B Chan, Steve Bhandarkar
1Emergency Medicine Residency Program, Resurrection Medical Center, Chicago, Illinois 60631, USA.
Background:
In 1982, Wellens and colleagues described characteristic electrocardiogram (ECG) findings in angina patients virtually pathognomonic for significant stenosis of the proximal left anterior descending coronary artery and associated with a high risk of acute anterior wall myocardial infarction.
Case Report:
We present the case of a 74-year-old emergency department patient with classic ECG findings of Wellens syndrome and progression to acute ST elevation within 55 min.
Summary:
We present this case to increase awareness among emergency physicians of the characteristic findings of Wellens syndrome.
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