24 results
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... intervention #Wellens ... Types #Cardiology #EKG ... #ECG #Electrocardiogram ... #Diagnosis
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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Wellens Syndrome ... on EKG Associated ... Team @FOAMfrat #Wellens ... #Syndrome #EKG ... #ecg #cardiology
There are two patterns of T-wave abnormality in Wellens’ syndrome:
-Type A = Biphasic, with initial positivity
abnormality in Wellens ... negativity (25% of cases ... inverted (75% of cases ... ) #Diagnosis #Cardiology ... #ECG #EKG #Wellens
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Serial EKGS in pts ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Benign T-wave Inversion (BTWI) vs. Wellens'
 • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
Wellens' • Usually ... V2-V4 in Wellens ... ever-evolving T-waves in Wellens ... Inversion #BTWI #EKG ... #ECG #diagnosis
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... : electrocardiogram ... atrium, PASP: pulmonary ... #Diagnosis #Cardiology ... Dysfunction #Grading #Classification
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... ratio > 1 in V2 • Wellens ... chest pain • Wellens ... #Equivalents #ECG ... #EKG #diagnosis
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG ... #EKG #Electrocardiogram
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pneumothorax • Pulmonary ... Initial workup: • EKG ... score • PERC; Well