Wellen’s Syndrome

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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.

http://www.ncbi.nlm.nih.gov/pubmed/19130419

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