An incidental case of Wellens' syndrome in a community emergency department.

INTRODUCTION Wellens' syndrome, also called left anterior descending (LAD) coronary T-wave syndrome, is a characteristic electrocardiographic (ECG) pattern suggestive of coronary artery disease in the preinfarction stage. [1–3] ECG changes in Wellens' syndrome may signify critical stenosis in the proximal LAD coronary artery. [1–5] Furthermore, ECG changes may occur during a pain-free period with no other evidence of ischemia or unstable angina and none to minimal elevation of cardiac enzyme levels. [3,5] Hence, recognition of the aforementioned pattern is important in preventing the development of a devastating anterior wall myocardial infarction. [2–5]