Evidence map›Paper›PMID 42165491›Full record

ArticleJACC. Case reports2026

Pseudo-Wellens Syndrome Caused by Myocardial Bridging.

Xue Zhou, Chuchu Zhao

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Xue ZhouNew York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York, USA.
Chuchu ZhaoNYC Health + Hospitals/Queens, Icahn School of Medicine at Mount Sinai, New York, New York, USA. Electronic address: zhaoc8@nychhc.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWellens syndrome is a preinfarction electrocardiographic pattern classically associated with critical proximal left anterior descending artery stenosis. However, nonatherosclerotic conditions, including myocardial bridging, may mimic this pattern. CASE SUMMARY: A 58-year-old man presented with intermittent chest pain and Wellens T-wave changes in the anterior leads. High-sensitivity troponin T levels were normal. Coronary angiography revealed normal coronary arteries with a mid left anterior descending myocardial bridge and no fixed stenosis. Beta-blocker therapy was deferred owing to baseline bradycardia. DISCUSSION: Myocardial bridging may produce a pseudo-Wellens pattern through dynamic systolic compression and transient ischemia. TAKE-HOME MESSAGE: Recognition of this phenocopy is essential to avoid misdiagnosis and unnecessary intervention.

Indexed as

electrocardiographyleft anterior descending arterymyocardial bridgingpseudo-Wellens syndromeWellens' syndrome

Identifiers

PMID42165491
PMCPMC13198142

What OpenQuestion holds

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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.