Case 11
Diagnosis
Wellens Sign
Key Characteristics
•Type A: Deeply inverted Biphasic T waves in V2-3
•Type B: Deeply inverted T Waves in V2-V3
•Type B: Deeply inverted T Waves in V2-V3
Causes
•Critical stenosis of proxLAD
•+/- Chest Pain
•Not a STEMI equivalent but patients need cath
•+/- Chest Pain
•Not a STEMI equivalent but patients need cath
Treatment
•Monitored Bed, Cards Consult, do NOT Stress test
•ASA, +/-Heparin, Statin, Oxygen, Nitro, Beta blocker
•ASA, +/-Heparin, Statin, Oxygen, Nitro, Beta blocker
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