# Troponin May Lie: Recognizing an Atypical Case of Wellens Syndrome

## TL;DR

This paper discusses a rare heart condition called Wellens syndrome that can be missed due to misleading test results.

## Contribution

The paper highlights the importance of recognizing Wellens syndrome despite normal or misleading ECG and troponin results.

## Key findings

- Wellens syndrome can be missed if relying solely on ECG and troponin tests.
- Urgent revascularization is critical for patients with this syndrome.
- Noninvasive stress tests may be harmful if used inappropriately.

## Abstract

Wellens syndrome is associated with a critical coronary artery stenosis and an impending extensive myocardial infarction. Despite having chest pain, both ECG and troponin can be misleading. It is crucial to recognize this syndrome to allow urgent revascularization. Failure to recognize and noninvasive stress tests were shown to be detrimental.