Wellen’s Syndrome

Leave a comment

October 24, 2012 by dailybolusoflr

This characteristic EKG pattern is important to recognize, as it is correlated to patients with critical stenosis of the proximal LAD.

It is characterized by:
  • Deep symmetic t-wave inversions or biphasic t waves in the pre-cordial leads (typically V2 and V3 but can be seen in V1, V4-V6)
Additional characteristics include:
  • No/minimal ST elevation
  • Maintainence of precordial R wave progression
  • No pathologic precordial Q waves

The intitial study showed that all of the 180 patients Dr. Wellen admitted who had this characteristic finding had significant disease in the proximal LAD, from 50-100%.

This patient presented with chest pain and was taken to the cath lab where he was found to have an 85% stenosis of his proximal LAD.


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: