Emergency Medicine professor James Roberts, MD is writing a series of articles on electrocardiographic patterns likely to be dismissed as nonspecific but which, in the appropriate clinical context, portend disaster. The latest is a discussion of Wellens syndrome.
Read it here.
A couple of important points about Wellens syndrome: It is highly predictive of proximal LAD disease. The electrocardiographic pattern evolves after pain resolution and apparent “response” of the patient to medical management, yet these patients are in need of early revascularization.