Wellens' syndrome electrocardiogram

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Electrocardiogram

Electrocardiographic Criteria

• Progressive symmetrical deep T wave inversion in leads V₂ and V₃
• The slope of the inverted T waves is generally at 60°-90°
• There is little or no cardiac marker elevation
• There is discrete or there is no ST segment elevation
• There is no loss of precordial R waves

Electrocardiographic Examples

Shown above is the EKG of a 69-year-old black male with Wellens' sign.

Shown above is the EKG of a patient with Wellens' sign during an episode of chest pain

Shown above is the EKG of the same patient after the episode of chest pain had resolved. Despite resolution of the chest pain, note the persistent biphasic T waves in leads V2 and V3.