Evidence map›Paper›PMID 37285497›Full record

ArticleClinical practice and cases in emergency medicine2023

Myocardial Bridge of the Left Anterior Descending Artery Causing Pseudo-Wellens' Syndrome: A Report of Two Cases.

Debayan Guha, Franz C Mendoza-Garcia, Kathryn M Millen, Joseph Offenbacher, Nicholus M Warstadt

Open access · goldAbstract read
In one paragraph

Article in Clinical practice and cases in emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Advances in the study of Wellens syndrome.The Journal of international medical research · 2025
    Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Debayan GuhaAlbert Einstein College of Medicine, Department of Emergency Medicine at the Jacobi and Montefiore Medical Centers, Bronx, New York.
Franz C Mendoza-GarciaAlbert Einstein College of Medicine, Department of Emergency Medicine at the Jacobi and Montefiore Medical Centers, Bronx, New York.
Kathryn M MillenAlbert Einstein College of Medicine, Department of Emergency Medicine at the Jacobi and Montefiore Medical Centers, Bronx, New York.
Joseph OffenbacherNew York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York.
Nicholus M WarstadtNew York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York.
New York University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWellens' syndrome represents an important, at times overlooked, spectrum of left anterior descending (LAD) coronary artery occlusion, spontaneous reperfusion, and impending reocclusion. Once considered pathognomonic for a thromboembolic coronary event, an increasing number of clinical scenarios have been demonstrated to result in pseudo-Wellens' syndrome, each requiring unique forms of assessment and management. CASE REPORT: We describe two clinical presentations in which myocardial bridging (MB) of the LAD led to clinical and electrophysiologic presentations of a pseudo-Wellens' syndrome.

conclusionThese reports represent a rare cause of pseudo-Wellens' syndrome attributed to MB of the LAD. Transient ischemia secondary to myocardial compression of the traversing LAD leads to intermittent angina and electrocardiogram changes that are typical in patients presenting with Wellens' syndrome secondary to an occlusive coronary event. As with other previously reported pathophysiologic mechanisms that have been shown to mimic Wellens' syndrome, myocardial bridging should be considered in patients presenting with a pseudo-Wellens' syndrome.

Identifiers

PMID37285497
PMCPMC10247165
OpenAlexW4378472566

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.