How to never miss Wellen's syndrome
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- Опубліковано 23 сер 2024
- A succinct run-down of Wellen's syndrome type A and type B. How never to miss this abnormality, which signifies critical stenosis of the left anterior descending (LAD) coronary artery.
What is written on the board there? 😊
It’s my quote board - I try to write a new one each month. That one said “There’s no such uncertainty as a sure thing”. (Robert Burns) 😊
What is the reason of getting 2 pattern s,type A and B according to pathophysiology and/or coronary anatomy..?
Good question! I think it depends on the timing and degree of reperfusion. Wellens type A has terminal T inversion, suggesting early reperfusion after an LAD occlusion that has partially resolved. Wellens type B is likely the evolution over time after reperfusion, as the T wave inversion becomes symmetrical and complete. Steve Smith has written a really nice blog on this - hqmeded-ecg.blogspot.com/2013/11/why-we-need-12-lead-st-segment.html?m=1