D.Luke Glancy,Bahij Khuri,Brian Cospolich.Heed the warning:Wellens’’type T-wave inversion is caused by proximal left anterior descendinglesion. Baylor University Medical Center Proceedings . 2000D.Luke Glaney,Bahij Khuri,Brian Cospolich. Heed the warning:Wellene' type T-wave inversion is ...
ST段抬高、压低和T波改变提示心肌缺血征象,而心电图异常导联则反映心肌缺血的部位,常用于判断罪犯血管。经典Wellens综合征为人所熟知,原因在于其凶险程度不亚于STEMI。从该案例可知,其他导联的Wellens征象,同样不可小觑。 参考文献: [1] Piña-Paz SA, Sing...
Wellens' syndrome is characterized by T-wave changes in electrocardiogram (EKG) during pain-free period in a patient with intermittent angina chest pain. It carries significant diagnostic and prognostic value because this syndrome represents a pre-infarction stage of coronary artery disease involving pro...
Ahmed S , Ratanapo S , Srivali N ,et al,Wellens' syndrome and clinical significance of T-wave inversion in anterior precordial leads[J]. The American journal of emergency medicine. 2013;31(2):439-440. DOI: 10.1016/j.ajem.2012.11.014 . 返回引文位置Google Scholar 百度学术 万方数据 ...
Oliva PB, Hammill SC, Edwards WD. Electrocardiographic diagnosis of postinfarction regional pericarditis. Ancillary observations regarding the effect of reperfusion on the rapidity and amplitude of T wave inversion after acute myocardial infarction. Circulation 1993; 88(3): 896-904. ...
Wellens综合征是一种与冠状动脉左前降支近端严重狭窄(≥70%～85%)有关的心电图T波改变,是不稳定心绞痛的一个亚型,也是一种严重的急性冠状动脉综合征,最先由Wellens和同事在1982年报道。对急诊和心脏科医生来说,及时识别这一心电图表现,并及时进行介入治疗可避免大面积前壁心肌梗死的发生。Wellens综合征的T波改...
[3]HassenGW,CosteaA,SmithT,etal.Theneglectedleadonelectrocardiogram:TwaveinversioninleadaVL,nonspecificfindingorasignforleftanteriordescendingarterylesion?.JEmerg.2014;46:165–70. [4]HaydenGE,BradyWJ,PerronAD,etal.ElectocardiographicT-waveinversion:differentialdiagnosisinthechestpainpatient.AmJEmergMed.2002;...
In addition, we would like to emphasize the clinical significance of T-wave inversion in anterior precordial leads is an acute coronary syndrome as well. We recently had a 64-year-old white man who presented to the ED with a chief complaint of substernal chest heaviness that woke him up ...
关键词Wellens综合征;急性冠脉综合征;T波变化;左前降支 d o i:10.12102/j.i s s n.1672-1349.2023.13.033 近年来,据相关文献报道,我国冠心病的发病率及死亡率呈上升趋势[1],Wellens综合征是急性冠脉综合征(ACS)的一种特殊类型,为心肌梗死前的状态,主要犯罪血管为左前降支,尽早认识并治疗Wellens综合征...
Reperfusion after coronary occlusion (myocardial infarction, MI), as in Wellens' syndrome, is often represented on ECG as T-wave inversion in the leads overlying the affected myocardial wall(s). As an extension of this logic, reperfusion of the posterior wall should manifest on right precordial...