Lightning Learning: Wellens Syndrome — EM3
Lightning Learning: Wellens Syndrome — EM3
Sep 10, 2019
em3.org.uk
The T-wave: T-wave inversions, hyperacute T-waves, large T-waves, flat T-waves – The Cardiovascular
The T-wave: T-wave inversions, hyperacute T-waves, large T-wave…
Jan 6, 2025
ecgwaves.com
⚠️⚡ Wellens Syndrome: Recognizing the Impending Anterior MI Overview: Wellens syndrome is a critical pre-infarction state identified by characteristic T-wave changes in leads V2-V3, signaling a high-grade stenosis of the proximal Left Anterior Descending artery (LAD). Key Features: · ECG Patterns: · Type A: Biphasic T-waves (initial positive, terminal negative). · Type B: Deeply inverted, symmetric T-waves. · Clinical Context: · Often occurs in pain-free intervals with minimal cardiac enzyme ele
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⚠️⚡ Wellens Syndrome: Recognizing the Impending Anteri…
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10 High-Risk ECG Patterns Requiring Urgent Intervention 1. Wellens – LAD critical stenosis 2. Brugada – VF risk 3. Hyperkalemia – Sine-wave evolution 4. Massive PE – S1Q3T3, RBBB 5. STEMI – Contiguous ST↑ 6. LM/prox LAD – ST↑aVR, diffuse ST↓ 7. VT – Treat as VT unless proven otherwise 8. TdP – Polymorphic VT long QT 9. 3° HB – AV dissociation, escape rhythm 10. Tamponade – Low voltage ± alternans Each pattern correlates with a time-sensitive clinical pathway. 📈 Review the diagnostic criteria ab
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10 High-Risk ECG Patterns Requiring Urgent Intervention 1. …
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The T-Wave Explained - What Do T Waves On An ECG Represent?
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