Wellens Syndrome

Home / glossary / Wellens Syndrome

Wellens Syndrome
Definition
•  Biphasic or deeply inverted T waves in V2-3 PLUS
•  History of recent chest pain (now resolved)

2 patterns
Pattern A – Biphasic T waves
Pattern B – Deeply & symmetrical inverted T waves

Wellens syndrome – Pattern A

Notes
• Patient may have normal /slightly elevated serum cardiac markers
• The amplitude of inverted T wave is increased[2]

Significance
• Highly specific for critical stenosis of the left anterior descending artery (LAD)
• Extremely high risk for extensive anterior wall MI within subsequent days – weeks

Further reading
1.
LTFL
2.https://www.sciencedirect.com/science/article/pii/S0022073621001187

error: Content is protected !!