Work

Wellens Syndrome Corollaries: A Call for Definition with a Case Series

Year: 2025

Type: article

Abstract: INTRODUCTION: First described in 1982, the Wellens wave is an electrocardiographic (ECG) finding indicative of a critical lesion of the left anterior descending artery. These T-wave findings are classically found in ECG leads V2 and V3, although they may extend into the lateral leads V4-V6. CASE SERIES: We present three cases of patients with Wellens waves that were found only in leads V3 and V4 and did not include V2. CONCLUSION: We suggest that the classical definition of T-waves in leads V2 and V3 is not the only manifestation of Wellens waves to indicate pathology. Wellens waves found in two contiguous leads in leads V1-V6 can be considered Wellens corollaries, thereby requiring the same emergent treatment as classical Wellens syndrome. We also recognize the need for a consensus on the inclusion criteria of Wellens syndrome, particularly the laboratory and ECG findings that define the disease.

Source: Clinical Practice and Cases in Emergency Medicine

DOI: 10.5811/cpcem.35877

Authors: Addison Rayne Sparks, Patrick Bruss

Institutions: University of Toledo, ProMedica Monroe Regional Hospital, ProMedica

Language: English

Topic: Acute Myocardial Infarction Research

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $500