Evolution of de Winter syndrome to Wellens syndrome: a case report and literature review
Both de Winter syndrome and Wellens syndrome mainly indicate severe stenosis in the proximal segment of the anterior descending coronary artery. However, as research deepens, the accuracy and specificity of diagnosing proximal left anterior descending coronary artery (LAD) culprit lesions separately...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1415306/full |
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| author | Fei Wang Xuesong Zhang Huihui Pang Yuehai Wang |
| author_facet | Fei Wang Xuesong Zhang Huihui Pang Yuehai Wang |
| author_sort | Fei Wang |
| collection | DOAJ |
| description | Both de Winter syndrome and Wellens syndrome mainly indicate severe stenosis in the proximal segment of the anterior descending coronary artery. However, as research deepens, the accuracy and specificity of diagnosing proximal left anterior descending coronary artery (LAD) culprit lesions separately by de Winter syndrome or Wellens syndrome are challenged. The patient in this case developed both syndromes in a short period of time, and imaging showed significant stenosis of the proximal LAD, indicating a culprit lesion. The successive appearance of these two special electrocardiogram changes may increase the accuracy and specificity of diagnosing LAD as a culprit lesion, and the short-term occurrence of these two special electrocardiogram changes also suggests that the culprit lesion may be incomplete occlusion. In addition, de Winter syndrome is prone to missed diagnosis, while Wellens syndrome is prone to misdiagnosis or underestimation of its risk. |
| format | Article |
| id | doaj-art-7c31ba42784a49ddafe176a5353b5279 |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-7c31ba42784a49ddafe176a5353b52792025-01-09T06:10:09ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011110.3389/fcvm.2024.14153061415306Evolution of de Winter syndrome to Wellens syndrome: a case report and literature reviewFei Wang0Xuesong Zhang1Huihui Pang2Yuehai Wang3Department of Cardiology, Shandong Corps Hospital of Chinese People’s Armed Police Forces, Jinan, Shandong, ChinaCardiology Department and Experimental Animal Center, Liaocheng People’s Hospital of Shandong University and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, Shandong, ChinaSchool of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, ChinaCardiology Department and Experimental Animal Center, Liaocheng People’s Hospital of Shandong University and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, Shandong, ChinaBoth de Winter syndrome and Wellens syndrome mainly indicate severe stenosis in the proximal segment of the anterior descending coronary artery. However, as research deepens, the accuracy and specificity of diagnosing proximal left anterior descending coronary artery (LAD) culprit lesions separately by de Winter syndrome or Wellens syndrome are challenged. The patient in this case developed both syndromes in a short period of time, and imaging showed significant stenosis of the proximal LAD, indicating a culprit lesion. The successive appearance of these two special electrocardiogram changes may increase the accuracy and specificity of diagnosing LAD as a culprit lesion, and the short-term occurrence of these two special electrocardiogram changes also suggests that the culprit lesion may be incomplete occlusion. In addition, de Winter syndrome is prone to missed diagnosis, while Wellens syndrome is prone to misdiagnosis or underestimation of its risk.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1415306/fullde Winter syndromeWellens syndromeproximal LAD lesionculprit lesionspecificityincomplete occlusion |
| spellingShingle | Fei Wang Xuesong Zhang Huihui Pang Yuehai Wang Evolution of de Winter syndrome to Wellens syndrome: a case report and literature review Frontiers in Cardiovascular Medicine de Winter syndrome Wellens syndrome proximal LAD lesion culprit lesion specificity incomplete occlusion |
| title | Evolution of de Winter syndrome to Wellens syndrome: a case report and literature review |
| title_full | Evolution of de Winter syndrome to Wellens syndrome: a case report and literature review |
| title_fullStr | Evolution of de Winter syndrome to Wellens syndrome: a case report and literature review |
| title_full_unstemmed | Evolution of de Winter syndrome to Wellens syndrome: a case report and literature review |
| title_short | Evolution of de Winter syndrome to Wellens syndrome: a case report and literature review |
| title_sort | evolution of de winter syndrome to wellens syndrome a case report and literature review |
| topic | de Winter syndrome Wellens syndrome proximal LAD lesion culprit lesion specificity incomplete occlusion |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1415306/full |
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