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Wellens Syndrome is a condition that indicates a critical narrowing of the proximal left anterior descending (LAD) artery. It is considered a pre-infarction state, meaning that patients with this syndrome are at high risk of developing a large anterior myocardial infarction (MI) if not treated promptly. Wellens syndrome describes a pattern of electrocardiographic (ECG) changes, particularly deeply inverted or biphasic T waves in leads V2-V3, that is highly specific for critical, proximal stenosis of the left anterior descending (LAD) coronary artery. It is alternatively known as anterior, descendin … Wellens’ syndrome signifies critical stenosis of the LAD and can be indicative of impending anterior wall myocardial infarction. Patients typically present with no active chest pain and minimal to no rise in cardiac biomarkers, which can be falsely reassuring. Background Wellens syndrome complicates acute coronary syndrome and, if unmanaged, can lead to immanent myocardial infarction. This study aimed towards determining the prevalence of Wellens syndrome among acute coronary syndrome patients while focusing on both types and identifying the associated risk factors, then exploring the variation in affected coronary arteries within patients fulfilling Wellens syndrome criteria. Methods Implementing a descriptive cross sectional hospital based ...