Introduction: Wellens’ syndrome represents an important, at times overlooked, spectrum of left anterior descending (LAD) coronary artery occlusion, spontaneous reperfusion, and impending reocclusion. Once considered pathognomonic for a thromboembolic coronary event, an increasing number of clinical scenarios have been demonstrated to result in pseudo-Wellens’ syndrome, each requiring unique forms of assessment and management.
Case Report: We describe two clinical presentations in which myocardial bridging (MB) of the LAD led to clinical and electrophysiologic presentations of a pseudo-Wellens’ syndrome.
Conclusion: These reports represent a rare cause of pseudo-Wellens’ syndrome attributed to MB of the LAD. Transient ischemia secondary to myocardial compression of the traversing LAD leads to intermittent angina and electrocardiogram changes that are typical in patients presenting with Wellens’ syndrome secondary to an occlusive coronary event. As with other previously reported pathophysiologic mechanisms that have been shown to mimic Wellens’ syndrome, myocardial bridging should be considered in patients presenting with a pseudo-Wellens’ syndrome.
","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"emergency medicine; acute coronary syndrome; Wellens’ syndrome; myocardial bridge; case report."}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9tq45130","frozenauthors":[{"first_name":"Debayan","middle_name":"","last_name":"Guha","name_suffix":"","institution":"Albert Einstein College of Medicine, Department of Emergency Medicine at the Jacobi and Montefiore Medical Centers, Bronx, New York","department":""},{"first_name":"Franz","middle_name":"C.","last_name":"Mendoza-Garcia","name_suffix":"","institution":"Albert Einstein College of Medicine, Department of Emergency Medicine at the Jacobi and Montefiore Medical Centers, Bronx, New York","department":""},{"first_name":"Kathryn","middle_name":"M.","last_name":"Millen","name_suffix":"","institution":"Albert Einstein College of Medicine, Department of Emergency Medicine at the Jacobi and Montefiore Medical Centers, Bronx, New York","department":""},{"first_name":"Joseph","middle_name":"","last_name":"Offenbacher","name_suffix":"","institution":"New York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Nicholus","middle_name":"M.","last_name":"Warstadt","name_suffix":"","institution":"New York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York","department":""}],"date_submitted":"2023-05-26T21:19:36.280000Z","date_accepted":"2023-05-26T21:24:33.457000Z","date_published":"2023-05-31T16:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1404/galley/1025/download/"}]}