Wellens' syndrome: Difference between revisions
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#No loss of precordial R waves | #No loss of precordial R waves | ||
#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 [[ | #See [[#Example | example]] below :A) biphasic pattern and B) inversion pattern | ||
==Treatment== | ==Treatment== | ||
#Urgent cardiac catheterization | #Urgent cardiac catheterization | ||
==Example== | |||
[[File:Wellens.jpg]] | |||
==Source== | ==Source== | ||
Revision as of 00:56, 15 September 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 example below :A) biphasic pattern and B) inversion pattern
Treatment
- Urgent cardiac catheterization
Example
Source
Wellens’ Syndrome. Annals of Emergency Medicine, March, 1999.