Wellens Syndrome
Episode 29
March 26, 2012
Watch this 8 minute tutorial on Wellens Syndrome, or 75% of your patients with Wellens may die within 2 weeks!
Wellens Syndrome
- T-wave abnormality in precordial leads (V2-V3, +/-V4)
- Specific for obstructed proximal LAD lesion
- High risk for extensive anterior wall MI and death
- 2 types
- Type 1-Deeply symmetric TWI
- Type 2- Biphasic T waves with terminal TWI. Goes up first, then down (often misdiagnosed as “normal” or“non-specific T-wave abnormality”).
ST changes are often absent and patient can be chest pain free
Patients are best treated with PCI
Don’t call it Wellens, when it’s not! Freshen up on Wellens mimic’s by watching this previous episode…
References:
de Zwann C, Bar FW, Wellens HJJ. Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Am Heart J, 1982 Apr;103(4 Pt 2):730-6.
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