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BET 1: IN PATIENTS WITH SUSPECTED ACUTE CORONARY SYNDROME, DOES WELLENS' SIGN ON THE ELECTROCARDIOGRAPH IDENTIFY CRITICAL LEFT ANTERIOR DESCENDING ARTERY STENOSIS?
  1. Niall Morris1,2,
  2. Laura Howard1,3
  1. 1 Institution Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
  2. 2 The University of Manchester, Manchester, UK
  3. 3 Manchester Metropolitan University, Manchester, UK

Abstract

Wellens’ syndrome consists of a history suggestive of an acute coronary syndrome and biphasic or deeply inverted T waves in ECG leads V2–V3. A shortcut review was carried out to establish whether this ECG pattern identifies patients with a critical left anterior descending artery stenosis. Six relevant papers were found. The clinical bottom line is that biphasic T-wave inversion in lead V2–V3 should alert the clinician to a probable critical stenosis of the left anterior descending artery.

  • emergency department

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