Progression From Patterns A to B in Wellens Syndrome: Electrocardiographic Progression in Wellens Syndrome
Edwin A Rodríguez1,2, Anali Salva1,2, José M Aladio1,2
1University of Buenos Aires, Buenos Aires, Argentina.
JACC. Case Reports
|January 11, 2024
Insights
Wellens syndrome electrocardiogram patterns can evolve from type A to type B. Diagnosis and treatment remain consistent for both Wellens syndrome types, indicating progression of the same underlying cardiac condition.
Area of Science:
- Cardiology
- Clinical Electrocardiography
Background:
- Wellens syndrome is a critical finding on electrocardiogram (ECG) indicative of proximal left anterior descending artery stenosis.
- Two ECG patterns, type A and type B, are recognized, both associated with significant coronary artery disease.
Observation:
- This case series presents three patients whose ECGs demonstrated a transition from type A to type B Wellens syndrome.
- The observed evolution highlights the dynamic nature of ischemic changes on the ECG.
Findings:
- The electrocardiogram findings evolved from type A to type B Wellens syndrome in the described cases.
- Despite the pattern change, the underlying diagnosis and therapeutic approach for Wellens syndrome remained unchanged.
Implications:
- These findings suggest that type A and type B Wellens syndrome represent sequential stages of the same ischemic process.
- Recognizing this evolution is crucial for timely diagnosis and management of acute coronary syndromes.
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.
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