Abstract：
Wellens syndrome, an ST Elevation Myocardial Infarction (STEMI) equivalent, is also known as T-wave left anterior descending (LAD) coronary artery disease. Wellens syndrome is characterized by a unique electrocardiogram (ECG) pattern that suggests a significant stenosis in the left anterior descending coronary artery that warrants immediate intervention. Hereby, we present a case report of Wellens syndrome in a patient with a history of hypertension and chronic obstructive pulmonary disease (COPD) that may be potentially mistaken for pseudo- Wellens syndrome because the ECG pattern mimics left ventricular strain pattern (LVSP) in left ventricular hypertrophy (LVH). Thus, cautious examination of recent chest pain and ECG is important to differentiate Wellens syndrome and LVSP in patients with hypertension and COPD to perform early detection and aggressive intervention since they may help to lessen the adverse results.
摘要：
Wellens综合征,ST段抬高型心肌梗死（STEMI）等效，也称为T波左前降支（LAD）冠状动脉疾病。Wellens综合征的特征是独特的心电图（ECG）模式，表明左前降支冠状动脉明显狭窄，需要立即干预。特此,我们报道了一例有高血压和慢性阻塞性肺疾病(COPD)病史的患者的Wellens综合征,该患者可能被误认为是假Wellens综合征,因为ECG模式模仿左心室肥厚(LVH)中的左心室应变模式(LVSP).因此，谨慎检查近期胸痛和心电图对于区分高血压和COPD患者的Wellens综合征和LVSP以进行早期发现和积极干预非常重要，因为它们可能有助于减轻不良结果。
