Abstract
Wellens' Syndrome first described by de Zwaan1 in 1982 is the characteristic T wave inversions indicating left anterior descending arterial (LAD) occlusion determined at chest derivations. Identifying the syndrome carries significant diagnostic any prognostic value. Because typical electrocardiographic (ECG) symptoms refer to critical occlusion of LAD and the patients with Wellens' Syndrome generally have acute myocardial infarction (MI) in a week and the risk of sudden cardiac arrest is respectively high.
Keywords: T inversion, wellen’s syndrome, myocardial infarction.
References
- Wellens' Syndrome – Report of two case Serdar Ozdemir, Turk J Emerg Med. 2015 Dec; 15(4): 179–181. Published 2016 Mar 11. doi: 1016/j.tjem.2014.07.002PMCID: PMC488220
- de Zwaan C., Bär F.W., Wellens H.J. Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Am Heart J. 1982;103:730–736. [PubMed]
- Mead N.E., O'Keefe K.P. Wellen's Synd-rome: an ominous EKG pattern. J Emerg Trauma Shock. 2009;2:206–208 [PubMed]
- Rhinehardt J., Brady W.J., Perron A.D., Mattu A. Electrocardiographic manife-stations of Wellens' Syndrome. Am J Emerg Med. 2002;20:638–643
- Tandy T.K., Bottomy D.P., Lewis J.G. Wellens' Syndrome. Ann Emerg Med. 1999;33:347–351.[PubMed]
- Brady W.J., Harrigan R.A., Chan T.C. Acute coronary syndrome. In: John A., Marx M.D., editors. Rosen's Emergency Medicine Concepts and Clinical Practice. 7th ed. Mosby; Philadelphia: 2010. pp. 947–983.
- Tatli E., Aktoz M. Wellens' Syndrome: the electrocardiographic finding that is seen as unimportant. Cardiol J. 2009;16:73–75. [PubMed]
Corresponding Author
Dr Darshankumar M Raval
Intern Doctor, Department of Emergency Medicine, SSGH, Vadodara
DOI: https://dx.doi.org/10.18535/jmscr/v5i12.90
