To the Editor We read the case report by Zhu and colleagues1 with great interest. The authors indicated that the “direct evolution from the de Winter to Wellens pattern has never been reported before.”1 However, using the search string de Winter[Title] AND Wellens[Title] in PubMed, we found 2 similar cases, one reported by Samadov and colleagues from Turkey in 20132,3 and the other by Li and colleagues from China in 2019.4 Apparently, Zhu and colleagues1 were not the first to report the evolution of de Winter syndrome into Wellens syndrome.