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Updated: Dec 13, 2025

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
Published on: September 19, 2019
Wellens Syndrome without chest pain, is it possible?
1Department of Emergency Medicine, Fondazione Policlinico Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy. mcandelli@gmail.com.
Objective:
Wellens syndrome is a typical electrocardiographic and clinical pattern that correlates with a severe proximal stenosis of the left anterior descending artery (LAD). It is associated with previous angina, no or slightly increased cardiac markers, and two ECG patterns: diphasic T wave in V2-V3 (Type A) or deep negative T waves from V1 to V4 (type B). In this paper, we described two cases with asymptomatic Wellens patterns.
Patients And Methods:
We describe two cases of Wellens syndrome ECG pattern that we observed in our Emergency Department not accompanied by chest pain or angina equivalents.
Results:
Both patients presented significant stenosis of LAD at the coronary angiography.
Conclusions:
Asymptomatic patients presenting with Wellens ECG pattern should perform a coronary arteriography cause of the risk of a severe LAD stenosis. We need further studies to confirm if all "silent" Wellens syndromes deserve angiographic study.
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