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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
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 • LITFL • CCC Cardiology OVERVIEW Wellens Syndrome = high grade LAD or LM coronary lesion CRITERIA history of chest pain chest pain with a normal looking ECG (pseudonormalisation) minimally elevated cardiac enzymes no pathological precordial Q waves or loss of R wave progression pain free ST elevation in V2 and V3 (minimally elevated) pain free symmetrical deep T wave inversion or biphasic T waves in V2-V5 Two types
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 - emDocs 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 - 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
Wellens syndrome: An ominous EKG pattern - PMC Wellens' syndrome is characterized by classic T-waves found in precordial leads especially V2-V3 during pain-free periods in a patient presenting with chest pain The classic T-waves are described as either deeply inverted or biphasic
Wellens syndrome - WikEM Wellens' sign during pain-free state plus recent history of angina and normal to slightly elevated cardiac enzymes = Wellen's syndrome Findings can be transient (persists for hours after pain has resolved and then disappears)