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Wellens syndrome is also termed as LAD coronary T-wave syndrome. It refers to the specific electrocardiographic (ECG) abnormalities in the precordial T-wave segment, which are associated with critical stenosis of the proximal left anterior descending (LAD) coronary artery. It is seen in patients with unstable angina. This finding is seen in the pain-free state. If untreated, it progresses to anterior myocardial infarction in the majority of the cases.
Diagnostic criteria involve:
· Progressive symmetrical deep T wave inversion in leads V2 and V3
· Slope of inverted T waves generally at 60°-90°
· Little or no cardiac marker elevation
· Discrete or no ST segment elevation
· No loss of precordial R waves.
Edelweiss publications maintaining the journal of Clinical Cardiology and Cardiovascular Medicine which accepts all the original manuscripts related to Wellens syndrome.
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