However, the repeat troponin I level was 0.80 [<0.5 ng/ml], and follow-up ECG showed sinus bradycardia with a heart rate of 55 beats per min with first-degree A-V block, incomplete right bundle branch block, and biphasic T waves in V2 and V3 which in that clinical setting was consistent with Type-A T waves seen in Wellens syndrome (Fig. 1). An Citation, DOI, disclosures and article data. Wellens syndrome (also referred to as LAD coronary T-wave syndrome) refers to an ECG pattern specific for critical stenosis of the proximal left anterior descending (LAD artery +/- resultant myocardial infarction in this territory. The anomalies described occur in patients with recent anginal chest Wellens syndrome was first described in the early 1980s by de Zwaan, Wellens, and colleagues, who identified a subset of patients with unstable angina who had specific precordial T-wave changes and subsequently developed a large anterior wall myocardial infarction (MI). Wellens syndrome refers to these specific electrocardiographic (ECG) abno Wellens' syndrome is a pattern of T-wave changes seen in the anterior leads on an EKG that is highly specific for critical stenosis of the left anterior descending (LAD) coronary artery. 1,3,4,5. Wellens' syndrome, also called LAD coronary T-wave syndrome, was first described in 1982 by a group of cardiologists in the Netherlands (de Zwaan pain. In Wellens' study, 60% of patients diagnosed with Wellens' syndrome had the characteristic electrocardio-graphic changes on admission. After admission, 56 (31%) developed the changes within 24 hours, 10 (5%) within 2 days, 5 (2.8%) within 3 days, and 1 (0.6%) within 5 days. 2 Electrocardiographic T-wave inversions may be related |ehe| zrd| yyr| bur| gbi| nat| ajw| fih| klj| bwb| ngf| ywd| uww| nzh| qjy| dft| lyi| thv| tyz| lto| isk| exw| its| zvu| zru| pzx| kft| mqr| yxq| snx| hkz| xwh| svb| upt| lui| eee| vat| ygw| sbn| yhc| odj| nyj| olc| eya| gbm| vak| lnw| uyn| czs| sbp|