Related Experiment Video
Updated: Dec 13, 2025
05:12
Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
Published on: September 19, 2019
6.8K
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.
European Review for Medical and Pharmacological Sciences
|August 4, 2020
Summary
Asymptomatic patients with Wellens syndrome electrocardiogram (ECG) patterns may have severe left anterior descending artery (LAD) stenosis. Early coronary angiography is crucial for these individuals to assess potential blockages.
Area of Science:
- Cardiology
- Diagnostic Imaging
- Internal Medicine
Background:
- Wellens syndrome is a recognized electrocardiographic (ECG) pattern indicating critical proximal left anterior descending artery (LAD) stenosis.
- It typically presents with chest pain, minimal cardiac enzyme elevation, and specific ECG changes (Type A or B).
Observation:
- This report details two cases of asymptomatic individuals presenting with the Wellens ECG pattern.
- These patients experienced no chest pain or related symptoms at the time of observation.
Findings:
- Coronary angiography confirmed significant LAD stenosis in both asymptomatic patients.
- The findings highlight a potential disconnect between ECG presentation and symptomatic presentation in Wellens syndrome.
Implications:
- Asymptomatic Wellens ECG patterns warrant urgent coronary angiography due to the high likelihood of severe LAD stenosis.
- Further research is needed to determine the universal necessity of angiography for all silent Wellens presentations.
Related Concept Videos
01:29Angina III: Clinical Manifestations and Assessment
125
Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
125
01:19Pericarditis II: Clinical Features and Diagnostic Tests
190
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
190
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
114
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
114
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
228
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
228
01:27Angina II: Classification
179
Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...
179
01:30Coronary Artery Disease III: Clinical Manifestations
218
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
218