new wellens syndrome
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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
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Wellens Syndrome
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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
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Wellens Syndrome
V2
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The Footprints of Wellen’s Syndrome
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Wellens Syndrome
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53y/o with chest pain53y/o with chest pain
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3 hours post admit, pain free after NTG
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61 yr/o with pain
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Several hours later after MONA tx
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Wellens Syndrome
Management of Wellens Syndrome includes transport to a facility capable of prompt cardiac catheterization, PCI and CABG surgery