🔴 Wellen's Syndrome :
🔸️Type A and Type B
🔸️️Wellens' Syndrome on ECG
▶️Wellens’ syndrome is a pattern of deeply inverted or biphasic T waves in V2-3, which is highly specific for a critical stenosis of the left anterior descending artery.
🔸️Type A and Type B
🔸️️Wellens' Syndrome on ECG
▶️Wellens’ syndrome is a pattern of deeply inverted or biphasic T waves in V2-3, which is highly specific for a critical stenosis of the left anterior descending artery.
▶️Diagnostic criteria for Wellens’ syndrome on ECG are:
1) Deeply-inverted or biphasic T waves in V2-3 (may extend to V1-6).
2) Isoelectric or minimally-elevated ST segment (< 1mm).
3) No precordial Q waves, 4) Preserved precordial R wave progression.
1) Deeply-inverted or biphasic T waves in V2-3 (may extend to V1-6).
2) Isoelectric or minimally-elevated ST segment (< 1mm).
3) No precordial Q waves, 4) Preserved precordial R wave progression.
▶️There are two patterns of T-wave abnormality in Wellens’ syndrome:
1) Type A = Biphasic, with initial positivity & terminal negativity (25% of cases),
2) Type B = Deeply and symmetrically inverted (75% of cases).
1) Type A = Biphasic, with initial positivity & terminal negativity (25% of cases),
2) Type B = Deeply and symmetrically inverted (75% of cases).
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