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Wellens ECGs

Wellens ECGs. Wellens syndrome: note the biphasic T waves (positive-negative) in leads V2-V4. Upper arrow points at the positive deflection, negative arrow points at the negative deflection.

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Wellens ECGs

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  1. Wellens ECGs

  2. Wellens syndrome: note the biphasic T waves (positive-negative) in leads V2-V4. Upper arrow points at the positive deflection, negative arrow points at the negative deflection.

  3. Wellens syndrome: note the deeply negative T wave (>5 mm) in V2-V4. We also have the biphasic shape in lead V2. ST segment is

  4. By definition, in Wellens’ syndrome, we should not have ST elevation>1 mm and no Q waves (Wellens is not a STEMI) • If you have ST elevation along with this T wave morphologythis is not Wellens, this is STEMI

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