Sep 8, 2021 · Wellens Syndrome is a clinical syndrome characterised by biphasic or deeply inverted T waves in V2-3, plus a history of recent chest pain now resolved. It is highly specific for critical stenosis of the left anterior descending artery (LAD)

Mar 11, 2025 · Wellens Syndrome has two types, based on the ECG findings: Pattern: T waves are biphasic, with an initial positive deflection followed by a negative deflection. Leads: Most commonly seen in V2 and V3. Significance: Indicates proximal LAD artery ischemia. Pattern: T waves are deeply inverted, symmetric, and tall. Leads: Seen mainly in V2 and V3.

Nov 25, 2019 · The patient’s initial ECG showed normal sinus rhythm with a biphasic T wave starting from V1–V4 pericardial chest leads with minimal ST elevation in V3, indicating Wellen’s syndrome type A.

Wellens syndrome is usually diagnosed in asymptomatic patients with normal or only slightly elevated cardiac enzymes. There are two different ECG patterns (Type A and Type B) described in the literature.

Jan 20, 2023 · ECG criteria for Wellens syndrome also include isoelectric or minimally elevated (1 mm) ST-segment elevation or ST-segment depression and exclude pathologic Q waves, left or right bundle branch block, left or right ventricular hypertrophy, and poor R-wave progression.

Wellens’ pattern is an electrocardiogram (EKG) finding of biphasic or deeply inverted T waves in leads V2 and V3 that is suggestive of anterior wall ischemia classically reflecting critical stenosis of the proximal left anterior descending artery (LAD).

Mar 17, 2025 · Wellens syndrome has two EKG patterns: Type A shows biphasic T wave in precordial leads V2 and V3. Type B is characterized by deep negative symmetric T waves from leads V1 to V4. It is also common to find absence of ST-segment elevation, preservation of precordial R wave progression and no precordial Q wave.

The clinical, laboratorial and ECG criteria for Wellens’ syndrome is a history of angina, minimal or no elevation of cardiac enzymes, minimal or no ST-segment elevation (<1 mm), no pathological precordial Q waves and biphasic T waves in leads V2 and V3 (type 1) or deep, symmetrical and inverted T waves in leads V2 and V3, occasionally V1, V4 ...

Wellen's syndrome presents with characteristic EKG findings that all Emergency Physicians need to recognize due to the significant percentage of patients who will develop anterior wall myocardial infarctions if aggressive intervention is not undertaken.

Jul 31, 2023 · Wellens syndrome describes a pattern of electrocardiographic (ECG) changes, particularly deeply inverted or biphasic T waves in leads V2-V3, that is highly specific for critical, proximal stenosis of the left anterior descending (LAD) coronary artery.