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Wellens Syndrome • LITFL • ECG Library Eponym Wellens Syndrome is a clinical syndrome characterised by biphasic or deeply inverted T waves in V2-3, plus a history of recent chest pain now resolved It is highly specific for critical stenosis of the left anterior descending artery (LAD)
Wellens syndrome - Wikipedia Wellens' syndrome is an electrocardiographic manifestation of critical proximal left anterior descending (LAD) coronary artery stenosis in people with unstable angina Originally thought of as two separate types, A and B, it is now considered an evolving wave form, initially of biphasic T wave inversions and later becoming symmetrical, often
Wellen’s Syndrome | Circulation - AHA ASA Journals Wellen’s syndrome, also called LAD coronary syndrome or widow maker, was first described in 1982 by de Zwaan et al 1 in a subgroup of patients with unstable angina during a pain-free period
Wellens’ Syndrome - emDOCs. net Wellens’ syndrome is a preinfarction stage of coronary artery disease and heralds an impending extensive myocardial infarction of the anterior wall 1,3 It is typified by anginal chest pain, characteristic EKG changes that usually occur after chest pain has resolved, and negative cardiac biomarkers
Wellens Syndrome: A Sign of Impending Myocardial Infarction Wellens’ syndrome signifies critical stenosis of the LAD and can be indicative of impending anterior wall myocardial infarction Patients typically present with no active chest pain and minimal to no rise in cardiac biomarkers, which can be falsely reassuring
Wellens Syndrome Important to Consider in Chest Pain: Key Points Wellens syndrome is a form of acute coronary syndrome (ACS) associated with critical disease of the left anterior descending (LAD) coronary artery It is associated with characteristic electrocardiography (ECG) patterns
Wellens Syndrome Treatment Management - Medscape Wellens syndrome was first described in the early 1980s by de Zwaan, Wellens, and colleagues, who identified a subset of patients with unstable angina who had specific precordial T-wave changes
Wellens Syndrome - StatPearls - NCBI Bookshelf Wellens syndrome describes an abnormal electrocardiographic (ECG) pattern, deeply inverted T waves in leads V2 and V3, that are secondary to proximal LAD stenosis Patients often present to the emergency department pain-free and elevated cardiac enzymes are usually normal or only slightly elevated
HIDDEN IN PLAIN SIGHT: WELLENS SYNDROME, A PATTERN TO REMEMBER INTRODUCTION: Wellens electrocardiogram (ECG) pattern is characterized by the presence of biphasic (Type A) or deeply inverted (Type B) T-waves in leads V2-V3 These ECG findings, along with unstable angina, are recognized as Wellens’ syndrome and are highly specific for critical, proximal stenosis of the left anterior descending (LAD
Wellens Syndrome: How to Prevent Acute Coronary Occlusions Wellens’ syndrome, being a reperfusion phenomenon, alerts clinicians to the potential risk of a new occlusion in the critical coronary artery, requiring careful monitoring and immediate intervention to prevent adverse outcomes