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Papers of the Week

2023 Feb 01




Wellens syndrome: An important consideration in patients with chest pain.


Alexander J, Rizzolo D
JAAPA. 2023 Feb 01; 36(2):25-29.
PMID: 36701576.


Coronary artery disease (CAD) is the number one cause of death in the United States, and it is estimated that every 40 seconds one person experiences a heart attack. Among patients with chronic CAD, many will experience a potentially fatal complication known as acute coronary syndrome (ACS). Wellens syndrome is a rare form of ACS that indicates critical left anterior descending coronary artery occlusion and can be identified by its characteristic T-wave patterns on ECG. This syndrome also may go unrecognized by clinicians because of a lack of familiarity with the ECG findings. This article describes the Wellens ECG pattern and its significance in patients with chest pain.