Exam

Wellen's Syndrome

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Wellen's Syndrome

  • Criteria
  1. Anterior T Waves abnormality in leads V2 and V3 (may involve all precordial leads)
    1. Type A: Biphasic T Waves, initially positive and then negative (25% of cases)
    2. Type B: Deep T Wave inversion (50% of cases)
  2. ST segment may be normal or <1 mm of ST Elevation
  3. No precordial Q waves and preserved precordial R Waves
  4. Associated with recent Angina, but EKG performed when pain free
  5. Cardiac enzymes normal or minimally elevated
  • Interpretation
  1. Suggests critical left anterior descending artery
  2. High risk for significant anterior wall Myocardial Infarction in the coming days to weeks (regardless of symptoms)
  • Resources
  1. Wellen's Syndrome (Life in the FastLane)
    1. http://lifeinthefastlane.com/ecg-library/wellens-syndrome/