Bet 1: in Patients with Suspected Acute Coronary Syndrome, Does Wellens' Sign on the Electrocardiograph Identify Critical Left Anterior Descending Artery Stenosis?
نویسندگان
چکیده
Wellens' syndrome consists of a history suggestive of an acute coronary syndrome and biphasic or deeply inverted T waves in ECG leads V2-V3. A shortcut review was carried out to establish whether this ECG pattern identifies patients with a critical left anterior descending artery stenosis. Six relevant papers were found. The clinical bottom line is that biphasic T-wave inversion in lead V2-V3 should alert the clinician to a probable critical stenosis of the left anterior descending artery.
منابع مشابه
Recognizing Wellens’ syndrome, a warning sign of critical proximal LAD artery stenosis and impending anterior myocardial infarction
Wellens' syndrome, also known as LAD coronary T-wave syndrome or the 'widow maker', is a pre-infarction syndrome with non-classical ischemic ECG changes and unremarkable cardiac biomarkers. This syndrome continues to be a 'can't miss' for the clinician as delay in urgent angiography and intervention can result in anterior myocardial infarction, left ventricular dysfunction, arrhythmias, and dea...
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Wellens' syndrome is a pattern of electrocardiographic T-wave changes associated with critical, proximal left anterior descending (LAD) artery stenosis. The syndrome is also referred to as LAD coronary T-wave syndrome. Syndrome criteria include T-wave changes plus a history of anginal chest pain without serum marker abnormalities; patients lack Q waves and significant ST-segment elevation; such...
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عنوان ژورنال:
- Emergency medicine journal : EMJ
دوره 34 4 شماره
صفحات -
تاریخ انتشار 2017