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Wellens’ syndrome: significance of ECG pattern recognition in the emergency department
  1. M Lilaonitkul,
  2. K Robinson,
  3. M Roberts
  1. North Devon District Hospital, Barnstaple, UK
  1. Correspondence to Dr M Lilaonitkul, 49 Richmond Street, Barnstaple EX32 7DP, UK; m.lilaonitkul{at}


Wellens’ syndrome describes a characteristic pattern of ECG T-wave changes in association with critical narrowing of the left anterior descending coronary artery. Failure to diagnose this condition, with subsequent inappropriate management, may have fatal consequences. A case of Wellens’ syndrome is reported in a young man presenting with “atypical chest pain” and the significance of its prompt recognition is discussed.

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  • Competing interests None.

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