Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Sep 26, 2023; 15(9): 462-468
Published online Sep 26, 2023. doi: 10.4330/wjc.v15.i9.462
Variant of Wellen’s syndrome in type 1 diabetic patient: A case report
Mukosolu Florence Obi, Manjari Sharma, Vikhyath Namireddy, Paul Gargiulo, Chelsea Noel, Cho Hyun, Blossom De Gale
Mukosolu Florence Obi, Manjari Sharma, Paul Gargiulo, Cho Hyun, Internal Medicine, Wyckoff Heights Medical Center, Brooklyn, NY 11237, United States
Vikhyath Namireddy, Chelsea Noel, Blossom De Gale, Clinical Rotations, St Georges University, School of Medicine, True Blue 96038, Grenada
Author contributions: Obi MF contributed to manuscript writing, editing and data analysis; Namireddy V contributed to editing; Gale DB and Noel C contributed to data collection; Gargiulo P, Sharma M and Hyun C contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: Informed verbal consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mukosolu Florence Obi, MD, Doctor, Internal Medicine, Wyckoff Heights Medical Center, 374 Stockholm, Brooklyn, NY 11237, United States. omukosolu.florence@gmail.com
Received: March 15, 2023
Peer-review started: March 15, 2023
First decision: June 14, 2023
Revised: June 29, 2023
Accepted: August 17, 2023
Article in press: August 17, 2023
Published online: September 26, 2023
Processing time: 189 Days and 16.2 Hours
Core Tip

Core Tip: When a patient exhibits atypical symptoms preceding chest pain and displays distinct T wave abnormalities on the electrocardiogram, it is crucial to seek immediate cardiology intervention. This entails conducting emergent cardiac catheterization to evaluate the presence of proximal stenosis in the left anterior descending artery, or in rare instances, the right coronary artery and left circumflex artery. Such stenosis can lead to the development of ischemic cardiomyopathy if left untreated. Acting promptly and carefully monitoring the characteristic T wave patterns, alongside normal or minimally elevated cardiac biomarkers, contributes to improved mortality prognosis.