BET 1: IN PATIENTS WITH SUSPECTED ACUTE CORONARY SYNDROME, DOES WELLENS' SIGN ON THE ELECTROCARDIOGRAPH IDENTIFY CRITICAL LEFT ANTERIOR DESCENDING ARTERY STENOSIS?
Wellens' syndrome consists of a history suggestive of an acute coronary syndrome and biphasic or deeply inverted T waves in ECG leads V2-V3. A shortcut review was carried out to establish whether this ECG pattern identifies patients with a critical left anterior descending artery stenosis. Six relevant papers were found. The clinical bottom line is that biphasic T-wave inversion in lead V2-V3 should alert the clinician to a probable critical stenosis of the left anterior descending artery.
Institution Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.|The University of Manchester, Manchester, UK.
Niall
N
Morris
Institution Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.|Manchester Metropolitan University, Manchester, UK.
Laura
L
Howard
D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D023921:Coronary Stenosis / Q000150:complications* / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000145:classification* / Q000379:methods; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis
emergency department