Wellens' syndrome

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Definition

A specific EKG abnormality in the precordial leads that is associated with critical stenosis of the LAD

Note this can be a TRANSIENT finding (will often persist for hours after pain resolved, then dissapear)


Criteria

Purely a T wave abnormality - no ST segment involement. If present in at least 2 leads of V1-V4 - 90% specificity for proximal LAD stenosisType 1 (classic) - deep symmetric t wave inversionsType 2 (less common) - biphasic t wave== ==


Treatment

Pts typically present with angina/UA. Treat symptomatically ==Disposition==


This is highly specific - pts need a cardiac catheterization urgently


Source

Adapted from ....Marriott, Mattu (lecture)

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