Wellens syndrome
Significance
- highly specific for critical stenosis of LAD
- very high risk for anterior wall MI in subsequent days to weeks
- do not stress test: can cause MI or cardiac arrest
Dx
- biphasic or deeply inverted T in V2-3
- AND recent chest pain that's resolved
- normal or slightly elevated cardiac markers
![](https://photos.thisispiggy.com/file/wikiFiles/20211011174944.png)
- Evolution over time:
![](https://photos.thisispiggy.com/file/wikiFiles/20211011175244.png)
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