12 Lead EssentialsWellens Syndrome

Wellens Syndrome is an easy to identify cardiac syndrome which indicates a critical high grade occulsion of the proximal LAD. If not identified and properly treated the mean time from onset of symptoms to extensive anterior wall MI is 8.5 days

Wellens Syndrome

Wellens Syndrome

Differential Characteristics:• Progressive, symetrical, deep T wave

inversion in chest leads V2 and V3. The slope of the T waves are generally at 60°-90°.

• May present with a bi-phasic T wave • Little or NO enzyme elevation• Little or NO ST segment elevation• No loss of precordial R waves

Wellens Syndrome

V2

The Footprints of Wellen’s Syndrome

Wellens Syndrome

53y/o with chest pain53y/o with chest pain

3 hours post admit, pain free after NTG

61 yr/o with pain

Several hours later after MONA tx

Wellens Syndrome

Management of Wellens Syndrome includes transport to a facility capable of prompt cardiac catheterization, PCI and CABG surgery