Wellens’ Syndrome ECG Review

Wellen's phenomenon occurs when biphasic T waves are seen in leads V1-V3 OR deep symmetric inverted T waves are seen in the precordial leads. Both of these ECG findings are indicative of a severe proximal left anterior descending stenosis (acute or chronic). Note that there is NO ST segement elevation that occurs with Wellen's ECG changes.

WellensExamples

ECG Examples:

References:

1. Surawicz B et al. ACC/AHA recommendations for the standardization and interpretation of the electrocardiogram. Circulation. 2009;119:e235-240.

2. Chou's Electrocardiography in Clinical Practice: Adult and Pediatric, 6e

By Steven Lome