Wellens syndrome is a condition characterized by clinical and instrumental signs suggestive of a critical proximal left anterior descending (LAD) coronary artery stenosis and requires early revascularization. Diagnostic criteria include T–wave changes in ECG during asymptomatic periods in patients with a history of chest pain, absence of significant cardiac enzyme movement, no ST–segment elevation, preserved R–wave, and no pathological Q waves. Early recognition of this syndrome is ... Background Wellens syndrome complicates acute coronary syndrome and, if unmanaged, can lead to immanent myocardial infarction. This study aimed towards determining the prevalence of Wellens syndrome among acute coronary syndrome patients while focusing on both types and identifying the associated risk factors, then exploring the variation in affected coronary arteries within patients fulfilling Wellens syndrome criteria. Methods Implementing a descriptive cross sectional hospital based ... Wellens' syndrome is an ECG sign of critical stenosis of the left anterior descending coronary artery in unstable angina. It is characterized by progressive T wave inversion in the anterior leads, low or no cardiac marker elevation, and no ST segment elevation. Learn about Wellens syndrome, a clinical syndrome of biphasic or inverted T waves in V2-3, indicating critical stenosis of the left anterior descending artery. See examples, diagnostic criteria, differential diagnosis and expert commentary.
