Wellens' syndrome electrocardiogram: Difference between revisions
Gerald Chi (talk | contribs) Created page with "__NOTOC__ {{Wellens' syndrome}} {{CMG}} ==Overview== ==Electrocardiogram== ===Electrocardiographic Criteria=== *Progressive symmetrical deep T wave inversion in leads ..." |
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===Electrocardiographic Criteria=== | ===Electrocardiographic Criteria=== | ||
*Progressive symmetrical deep [[T wave inversion]] in leads V<sub>2</sub> and V<sub>3</sub> | *Progressive symmetrical deep [[T wave inversion]] in leads V<sub>2</sub> and V<sub>3</sub> | ||
*The slope of the [[inverted T waves]] is generally at 60°-90° | *The slope of the [[inverted T waves]] is generally at 60°-90° | ||
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*There is discrete or there is no [[ST segment elevation]] | *There is discrete or there is no [[ST segment elevation]] | ||
*There is no [[loss of precordial R waves]] | *There is no [[loss of precordial R waves]] | ||
===Electrocardiographic Examples=== | |||
[[File:Wellens'_Syndrome.png|center|500px]] | |||
Shown above is the EKG of a 69-year-old black male with Wellens' sign. | |||
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[[File:Wellens.gif|center|300px|Coronary [[angiogram]] showing tight, critical [[stenosis]] (95%) of the proximal [[Left anterior descending|LAD]] in a patient with Wellens' Warning]] | |||
Shown above is a [[coronary angiogram]] showing a tight, critical stenosis in the proximal [[left anterior descending coronary artery]] (left); After placement of a [[bare-metal stent]] (right). Wellens' warning. | |||
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[[File:WellensPain.JPG|center|500px]] | |||
Shown above is the EKG of a patient with Wellens' sign during an episode of [[chest pain]]. | |||
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[[File:WellensPainfree.JPG|center|500px]] | |||
Shown above is the EKG of the same patient after the episode of [[chest pain]] had resolved. Despite resolution of the chest pain, note the persistent biphasic [[T waves]] in leads V<sub>2</sub> and V<sub>3</sub>. | |||
==References== | ==References== | ||
Revision as of 14:30, 14 April 2014
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Risk calculators and risk factors for Wellens' syndrome electrocardiogram |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Electrocardiogram
Electrocardiographic Criteria
- Progressive symmetrical deep T wave inversion in leads V2 and V3
- The slope of the inverted T waves is generally at 60°-90°
- There is little or no cardiac marker elevation
- There is discrete or there is no ST segment elevation
- There is no loss of precordial R waves
Electrocardiographic Examples
Shown above is the EKG of a 69-year-old black male with Wellens' sign.
Shown above is a coronary angiogram showing a tight, critical stenosis in the proximal left anterior descending coronary artery (left); After placement of a bare-metal stent (right). Wellens' warning.
Shown above is the EKG of a patient with Wellens' sign during an episode of chest pain.
Shown above is the EKG of the same patient after the episode of chest pain had resolved. Despite resolution of the chest pain, note the persistent biphasic T waves in leads V2 and V3.