Wellens Waves

Wellens waves are biphasic or inverted T waves in V2-3. These waves occur in patients who have had typical chest pain that has now resolved. This sign is specific for a critical LAD stenosis. Originally these waves were described as Pattern A (biphasic) and Pattern B (inverted), but it has been suggested that these waves evolve from biphasic to inverted over time. Similar waves may be seen with reperfusion after catheterisation and stenting.

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In the ECGquest archives, this ECG has been tagged with: - 12-Lead Serial 12-lead Wellens Waves Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
An athletic 30-something woman with acute substernal chest pressure: repeat ECG 19 hours after cath

This ECG is from an athletic woman in her 30s who presented with 1.5 hours of substernal chest pressure and nausea. She had no risk factors for ischemia. This was the repeat ECG 19 hours later, after cath.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Serial 12-lead Wellens Waves Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
An athletic 30-something woman with acute substernal chest pressure: repeat ECG 38 hours later

This ECG is from an athletic woman in her 30s who presented with 1.5 hours of substernal chest pressure and nausea. She had no risk factors for ischemia. This was the repeat ECG 38 hours later, after cath.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Wellens Waves Dr Smith's ECG Blog CC BY-NC
If you had recorded an ECG during chest pain, what would it have shown?

This ECG is from a man in his 40s with intermittent episodes of chest pain over the last 24 hours.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Serial 12-lead Biphasic T waves Wellens Waves Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
2 Cases of Resolved Chest Pain with Dynamic Terminal T-wave Inversion: case 2
In the ECGquest archives, this ECG has been tagged with: - 12-Lead Serial 12-lead Biphasic T waves Wellens Waves Dr Smith's ECG Blog CC BY-NC
2 Cases of Resolved Chest Pain with Dynamic Terminal T-wave Inversion: case 2, 6h later
In the ECGquest archives, this ECG has been tagged with: - 12-Lead Serial 12-lead Biphasic T waves Wellens Waves Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
2 Cases of Resolved Chest Pain with Dynamic Terminal T-wave Inversion: case 2, next morning
In the ECGquest archives, this ECG has been tagged with: - 12-Lead Wellens Waves Wellens syndrome LITFL CC-BY-NC-SA
Wellens’ Syndrome (Type A Pattern)