Wellens' syndrome: Difference between revisions
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*T wave abnormality that is associated with critical LAD stenosis | *T wave abnormality that is associated with critical LAD stenosis | ||
**Finding can be transient (persists for hours after pain has resolved and then disappears) | **Finding can be transient (persists for hours after pain has resolved and then disappears) | ||
**Preinfarction stage of CAD, and heralds extensive anterior wall MI | |||
== Criteria == | == Criteria == | ||
Revision as of 22:30, 12 January 2014
Background
- T wave abnormality that is associated with critical LAD stenosis
- Finding can be transient (persists for hours after pain has resolved and then disappears)
- Preinfarction stage of CAD, and heralds extensive anterior wall MI
Criteria
- Biphasic T waves in leads V2-V3 OR symmetric, often deeply inverted T waves in V2-V3
- 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
- A: Biphasic pattern
- B: Inversion pattern
Note Wellens criteria should not be diagnosed in a patetient with LVH.
Treatment
- Urgent cardiac catheterization
Source
Wellens’ Syndrome. Annals of Emergency Medicine, March, 1999