Wellens' syndrome: Difference between revisions
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==Criteria== | ==Criteria== | ||
Purely a T wave abnormality - no ST segment involement. If present in at least 2 leads of V1-V4 - 90% specificity for proximal LAD stenosisType 1 (classic) - deep symmetric t wave inversionsType 2 (less common) - biphasic t wave | Purely a T wave abnormality - no ST segment involement. If present in at least 2 leads of V1-V4 - 90% specificity for proximal LAD stenosisType 1 (classic) - deep symmetric t wave inversionsType 2 (less common) - biphasic t wave | ||
==Treatment== | ==Treatment== | ||
Revision as of 18:17, 12 March 2011
Definition
- A specific EKG abnormality in the precordial leads that is associated with critical stenosis of the LAD
- Note this can be a TRANSIENT finding (will often persist for hours after pain resolved, then dissapear)
Criteria
Purely a T wave abnormality - no ST segment involement. If present in at least 2 leads of V1-V4 - 90% specificity for proximal LAD stenosisType 1 (classic) - deep symmetric t wave inversionsType 2 (less common) - biphasic t wave
Treatment
- Pts typically present with angina/UA. Treat symptomatically ==Disposition==
- This is highly specific - pts need a cardiac catheterization urgently
Source
Adapted from Marriott, Mattu (lecture)