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From the Bellevue Wards: Wellens? Syndrome Revisited From the Bellevue Wards: Wellens’ Syndrome Revisited – Clinical Correlations Search From the Bellevue Wards: Wellens’ Syndrome Revisited September 18, 2014 5 min read By Matthew Shou Lun Lee, MD Peer Reviewed Clinical Questions -How common are elevated cardiac enzymes during Wellens’ syndrome? -Can the EKG changes in Wellens’ syndrome be found with other causes? Background This post represents a follow-up to the . Wellens’ syndrome refers (...) or minimally-elevated (<1 mm) ST elevations -Normal precordial R wave progression -High grade LAD stenosis The clinical importance of Wellens’ syndrome was established early with a reported incidence of 14.2% in unstable angina cases . It has been known as a “pre-infarction” stage as the initial, pre-PCI study found that 75% of these patients went on to develop . Case Presentation A 52 year-old Polish woman presented to an outside hospital complaining of intermittent chest pain for 1 week. She had