{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:10:01Z","timestamp":1756307401768,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,6,8]]},"abstract":"<jats:p>We describe a case of a middle-aged man who presented to the emergency department with typical anginal chest pains and found to have new, deeply inverted T-waves on ECG consistent with Wellens\u2019 syndrome. Similar to the description by Wellens <jats:italic>et al<\/jats:italic>, a critical 99% stenosis of the proximal left anterior descending artery was indeed confirmed by coronary angiography and successfully treated with drug-eluting stent. It is very important that physicians recognise this ECG finding as a harbinger of a serious cardiovascular condition and the necessity for an early invasive cardiac catheterisation.<\/jats:p>","DOI":"10.1136\/bcr-2018-225376","type":"journal-article","created":{"date-parts":[[2018,6,21]],"date-time":"2018-06-21T10:05:25Z","timestamp":1529575525000},"page":"bcr-2018-225376","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Wellens\u2019 syndrome: a close call"],"prefix":"10.1136","volume":"2018","author":[{"given":"Nneka","family":"Udechukwu","sequence":"first","affiliation":[{"name":"Internal Medicine, Reading Hospital and Medical Center, West Reading, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pragya","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Internal Medicine, Reading Hospital and Medical Center, West Reading, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Zeeshan","family":"Khan","sequence":"additional","affiliation":[{"name":"Internal Medicine, Reading Hospital and Medical Center, West Reading, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony A","family":"Donato","sequence":"additional","affiliation":[{"name":"Internal Medicine, Reading Hospital and Medical Center, West Reading, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,21]]},"reference":[{"key":"2025082707282488000_2018.jun21_1.bcr-2018-225376.1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(82)90480-X"},{"key":"2025082707282488000_2018.jun21_1.bcr-2018-225376.2","first-page":"bcr2013009323","article-title":"Wellens' syndrome in a 24-year-old woman","volume":"2013","author":"Khan","year":"2013","journal-title":"Case Rep Child Meml Hosp Chic"},{"key":"2025082707282488000_2018.jun21_1.bcr-2018-225376.3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(83)90061-9"},{"key":"2025082707282488000_2018.jun21_1.bcr-2018-225376.4","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv320"},{"key":"2025082707282488000_2018.jun21_1.bcr-2018-225376.5","doi-asserted-by":"crossref","first-page":"bcr-2017-222835","DOI":"10.1136\/bcr-2017-222835","article-title":"Cocaine-induced pseudo-Wellens' syndrome: a Wellens' phenocopy","volume":"2017","author":"Lin","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2025082707282488000_2018.jun21_1.bcr-2018-225376.6","doi-asserted-by":"publisher","DOI":"10.1053\/ajem.2002.34800"},{"key":"2025082707282488000_2018.jun21_1.bcr-2018-225376.7","doi-asserted-by":"crossref","first-page":"206","DOI":"10.4103\/0974-2700.55347","article-title":"Wellen\u2019s syndrome: An ominous EKG pattern","volume":"2","author":"Mead","year":"2009","journal-title":"J Emerg Trauma Shock"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225376","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:28:33Z","timestamp":1756304913000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,21]]},"references-count":7,"alternative-id":["10.1136\/bcr-2018-225376"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225376","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,6,21]]}}}