{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,14]],"date-time":"2024-07-14T00:17:57Z","timestamp":1720916277621},"reference-count":0,"publisher":"Pakistan Medical Association","issue":"6 (Supple)","license":[{"start":{"date-parts":[[2024,7,7]],"date-time":"2024-07-07T00:00:00Z","timestamp":1720310400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pak Med Assoc"],"abstract":"<jats:p>Wellens syndrome, an ST Elevation Myocardial Infarction(STEMI) equivalent, is also known as T-wave left anteriordescending (LAD) coronary artery disease. Wellenssyndrome is characterized by a unique electrocardiogram(ECG) pattern that suggests a significant stenosis in theleft anterior descending coronary artery that warrantsimmediate intervention. Hereby, we present a case reportof Wellens syndrome in a patient with a history ofhypertension and chronic obstructive pulmonary disease(COPD) that may be potentially mistaken for pseudo-Wellens syndrome because the ECG pattern mimics leftventricular strain pattern (LVSP) in left ventricularhypertrophy (LVH). Thus, cautious examination of recentchest pain and ECG is important to differentiate Wellenssyndrome and LVSP in patients with hypertension andCOPD to perform early detection and aggressiveintervention since they may help to lessen the adverseresults.Keywords: Coronary Artery Disease, Myocardial,Electrocardiography, Chest Pain, Hypertrophy,Arrhythmias, Cardiac<\/jats:p>","DOI":"10.47391\/jpma.s6-acsa-14","type":"journal-article","created":{"date-parts":[[2024,7,13]],"date-time":"2024-07-13T13:57:57Z","timestamp":1720879077000},"page":"S73-S76","source":"Crossref","is-referenced-by-count":0,"title":["Wellens Syndrome in a patient with a history of hypertension and chronic obstructive pulmonary disease: a case report"],"prefix":"10.47391","volume":"74","author":[{"family":"Ririn Ramli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Makhyan Jibril Al Farabi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Bestya Presidiana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Ricardo Adrian Nugraha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Pandit Bagus Tri Saputra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Yudi Her Oktaviono","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26547","published-online":{"date-parts":[[2024,7,7]]},"container-title":["Journal of the Pakistan Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/21461\/3398","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/21461\/3398","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,13]],"date-time":"2024-07-13T13:57:57Z","timestamp":1720879077000},"score":1,"resource":{"primary":{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/view\/21461"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,7]]},"references-count":0,"journal-issue":{"issue":"6 (Supple)","published-online":{"date-parts":[[2024,7,13]]}},"URL":"https:\/\/doi.org\/10.47391\/jpma.s6-acsa-14","relation":{},"ISSN":["0030-9982","0030-9982"],"issn-type":[{"value":"0030-9982","type":"electronic"},{"value":"0030-9982","type":"print"}],"subject":[],"published":{"date-parts":[[2024,7,7]]}}}