Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific for critical stenosis of proximal LAD. High rate in <1 week of becoming acute anterior wall MI — 'widow maker' lesion Typically with history of angina; but T wave changes often occur during a period without chest pain, as they result from myocardial reperfusion. Serial EKGS in pts are crucial. #Wellens #Sign #EKG #ECG #Electrocardiogram #Diagnosis #Cardiology