Wellens' syndrome: Difference between revisions
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==Background== | ==Background== | ||
*T wave abnormality that is associated with critical LAD stenosis | *T wave abnormality that is associated with critical LAD stenosis | ||
**Finding can be transient (Persist for hrs after pain has resolved and then | **Finding can be transient (Persist for hrs after pain has resolved and then disappear) | ||
==Criteria== | ==Criteria== | ||
Revision as of 02:34, 23 August 2011
Background
- T wave abnormality that is associated with critical LAD stenosis
- Finding can be transient (Persist for hrs after pain has resolved and then disappear)
Criteria
- Prior history of chest pain
- Little or no cardiac enzyme elevation
- No pathologic precordial Q waves
- Little or no ST-segment elevation
- No loss of precordial R waves
- Biphasic T waves in leads V2 and V3 OR symmetric, often deeply inverted T waves in V2-V3
- See Media:Wellens.jpg for example of A) biphasic pattern and B) inversion pattern
Treatment
- Urgent cardiac catheterization
Source
Wellens’ Syndrome. Annals of Emergency Medicine, March, 1999.