Wellens' syndrome: Difference between revisions
| Line 5: | Line 5: | ||
==Criteria== | ==Criteria== | ||
#Biphasic T waves in leads V2 and V3 OR symmetric, often deeply inverted T waves in V2-V3 | #Biphasic T waves in leads V2 and V3 OR symmetric, often deeply inverted T waves in V2-V3 | ||
#See [[#Example | example]] below | ##See [[#Example | example]] below | ||
##A) biphasic pattern and B) inversion pattern | ###A) biphasic pattern and B) inversion pattern | ||
#Prior history of chest pain | #Prior history of chest pain | ||
#Little or no cardiac enzyme elevation | #Little or no cardiac enzyme elevation | ||
Revision as of 04:30, 20 September 2011
Background
- T wave abnormality that is associated with critical LAD stenosis
- Finding can be transient (Persists for hrs after pain has resolved and then disappear)
Criteria
- Biphasic T waves in leads V2 and V3 OR symmetric, often deeply inverted T waves in V2-V3
- See example below
- A) biphasic pattern and B) inversion pattern
- See example below
- 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
Treatment
- Urgent cardiac catheterization
Example
Source
Wellens’ Syndrome. Annals of Emergency Medicine, March, 1999.