Wellens' syndrome: Difference between revisions
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
==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 ( | **Finding can be transient (Persists for hrs after pain has resolved and then disappear) | ||
==Criteria== | ==Criteria== | ||
#Biphasic T waves in leads V2 and V3 OR symmetric, often deeply inverted T waves in V2-V3 | |||
#See [[#Example | example]] below :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 | ||
| Line 9: | Line 12: | ||
#Little or no ST-segment elevation | #Little or no ST-segment elevation | ||
#No loss of precordial R waves | #No loss of precordial R waves | ||
==Treatment== | ==Treatment== | ||
Revision as of 04:29, 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
- 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.