24 January 2026
: Case report 
One ECG with 2 Rare Findings: Wellens Syndrome With Prolonged QT Interval in Acute Myocardial Infarction Due to LAD Occlusion
Rare coexistence of disease or pathology
Magdalena Bryndza
ABEF 1,2*, Paweł Kleczyński CDF 2, Piotr Szolc BC 2, Andrzej Ząbek BCF 3, Krzysztof Bartus DEF 4, Jacek Legutko ADF 2
DOI: 10.12659/AJCR.949682
Am J Case Rep 2026; 27:e949682
Figure 2 Evolution of the ECG in patient with Wellens syndrome and QT interval prolongation. Upper panel shows ECG on admission (HR 75 bpm, QT 400 ms, QTc 431 ms). Middle panel shows ECG 1 day after PCI of the LM/LAD arteries (HR 60 bpm, QT4800 ms, QTc 800 ms). Red arrows indicate short coupled PVCs. Lower panel shows ECG on discharge (HR 53 bpm, QT 560 ms, QTc 537 ms). ECG – electrocardiogram; HR – heart rate; QTc – corrected QT interval; PCI – percutaneous coronary intervention; LM – left main; LAD – left anterior descending; PVC – premature ventricular contraction.