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 β '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.
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