Wellens' syndrome over the past three decades
Journal of Cardiovascular Medicine, 2017•journals.lww.com
Discussion Gerson et al. 6 in 1979, initially described ECG findings of exercise-induced
inverted terminal T waves in the precordial leads in patients with proximal left anterior
descending (LAD) ischemia. In 1980, Gerson et al. again described these ECG changes at
rest, in patients with LAD or left main ischemia in 89% of described cases. 7 In 1982, de
Zwaan et al. 5 described a clinical syndrome consisting of angina with a pattern of
characteristic ECG changes associated with critical stenosis of the proximal LAD. Clinical …
inverted terminal T waves in the precordial leads in patients with proximal left anterior
descending (LAD) ischemia. In 1980, Gerson et al. again described these ECG changes at
rest, in patients with LAD or left main ischemia in 89% of described cases. 7 In 1982, de
Zwaan et al. 5 described a clinical syndrome consisting of angina with a pattern of
characteristic ECG changes associated with critical stenosis of the proximal LAD. Clinical …
Discussion
Gerson et al. 6 in 1979, initially described ECG findings of exercise-induced inverted terminal T waves in the precordial leads in patients with proximal left anterior descending (LAD) ischemia. In 1980, Gerson et al. again described these ECG changes at rest, in patients with LAD or left main ischemia in 89% of described cases. 7 In 1982, de Zwaan et al. 5 described a clinical syndrome consisting of angina with a pattern of characteristic ECG changes associated with critical stenosis of the proximal LAD. Clinical and electrocardiographic criteria of Wellens’ syndrome are as follows:
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