Page 211 - ECG dr shamol_Slide

Remember this is a preinfarction stage of

t Wellen’s Type 1, there are deep T-wave coronary artery disease, also referred to as
inversions in V2 and V3. Now even if you didn’t “LAD coronary T-wave syndrome.”

know this was called “Wellen’s Sign,” you What are the criteria, you ask?

would not send this patient home. They are 1) History of angina + T wave inversion or
coming in for admission, getting ASA, biphasic t waves in V2–V4

anticoagulation and cardiology consultation. 2) Normal or minimally elevated cardiac

These findings suggest to me a posterior wall enzymes
AMI. 3) No pathologic precordial q waves or loss of
precordial R wave progression