Also known as LAD coronary T-wave syndrome.

Patients with this finding have high likelihod of LAD stenosis.

It is a preinfarction stage of CAD.

     Acute MI occurs within a mean of 21.4 days after symptoms and 6-8.5 days after admission

 

Cardiac enzymes may be normal or minimally elevated.

There is no pathologic precordial Q-waves.

There is no loss of precordial R wave progression.

 

Type 1 is more common (75% of cases)

Type 2 is less common (25% of cases)

 

 

Management:

Early revascularization is superior to medical management in preventing acute MI

 

Source:

https://www.aliem.com/wellens-syndrome-on-your-radar/

 

Other resources:

https://em3.org.uk/foamed/10/9/2019/lightning-learning-wellens-syndrome

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The Compendium platform was created by David Kwinter, MD, CCFP(EM).