Wellens' syndrome: Difference between revisions
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**Finding can be transient (persists for hours after pain has resolved and then disappears) | **Finding can be transient (persists for hours after pain has resolved and then disappears) | ||
==Criteria== | == Criteria == | ||
#Biphasic T waves in leads V2-V3 OR symmetric, often deeply inverted T waves in V2-V3 | |||
#Prior history of chest pain | #Biphasic T waves in leads V2-V3 OR symmetric, often deeply inverted T waves in V2-V3 | ||
#Little or no cardiac enzyme elevation | #Prior history of chest pain | ||
#No pathologic precordial Q waves | #Little or no cardiac enzyme elevation | ||
#Little or no ST-segment elevation | #No pathologic precordial Q waves | ||
#Little or no ST-segment elevation | |||
#No loss of precordial R waves | #No loss of precordial R waves | ||
*A: Biphasic pattern | *A: Biphasic pattern | ||
*B: Inversion pattern | *B: Inversion pattern | ||
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[[Image:Wellens.jpg]] | |||
''Note Wellens criteria should not be diagnosed in a patetient with LVH. '' | |||
==Treatment== | ==Treatment== | ||
Revision as of 18:25, 4 July 2013
Background
- T wave abnormality that is associated with critical LAD stenosis
- Finding can be transient (persists for hours after pain has resolved and then disappears)
Criteria
- Biphasic T waves in leads V2-V3 OR symmetric, often deeply inverted T waves in V2-V3
- Prior history of chest pain
- Little or no cardiac enzyme elevation
- No pathologic precordial Q waves
- Little or no ST-segment elevation
- No loss of precordial R waves
- A: Biphasic pattern
- B: Inversion pattern
Note Wellens criteria should not be diagnosed in a patetient with LVH.
Treatment
- Urgent cardiac catheterization
Source
Wellens’ Syndrome. Annals of Emergency Medicine, March, 1999