Wellens' syndrome

Wellens' syndrome

the electrocardiographic signs of critical proximal left anterior descending coronary artery stenosis in patients with unstable angina. The signs are: normal or minimally elevated enzyme; little or no S-T segment elevation; no loss of precordial R waves; and progressive, deep, symmetric inversion of the T waves in leads V2 and V3, and sometimes in other leads. The signs are seen when the patient is without pain and represent reperfusion following transient occlusion.
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References in periodicals archive ?
Characteristic biphasic T-wave changes in precordial leads without Q-waves in a pain-free period is called Wellens' syndrome and is associated with severe proximal LAD stenosis.
Vanpee D, Courouble P, Marchandise B, Gillet JB: Wellens' syndrome.
Electrocardiographic manifestations of Wellens' syndrome.