Alexander Joshua, Rizzolo Denise
Joshua Alexander practices in internal medicine and emergency medicine at Northwell Health-Long Island Jewish Medical Center in New Hyde Park, N.Y. Denise Rizzolo is practicum coordinator for the master's of public health program at Fairleigh Dickinson University of New Jersey. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2023 Feb 1;36(2):25-29. doi: 10.1097/01.JAA.0000911188.18646.31.
Coronary artery disease (CAD) is the number one cause of death in the United States, and it is estimated that every 40 seconds one person experiences a heart attack. Among patients with chronic CAD, many will experience a potentially fatal complication known as acute coronary syndrome (ACS). Wellens syndrome is a rare form of ACS that indicates critical left anterior descending coronary artery occlusion and can be identified by its characteristic T-wave patterns on ECG. This syndrome also may go unrecognized by clinicians because of a lack of familiarity with the ECG findings. This article describes the Wellens ECG pattern and its significance in patients with chest pain.
冠状动脉疾病（CAD）是美国头号死因，据估计每40秒就有一人发生心脏病发作。在慢性CAD患者中，许多人会经历一种称为急性冠状动脉综合征（ACS）的潜在致命并发症。Wellens综合征是ACS的一种罕见形式，提示左前降支冠状动脉严重闭塞，可通过其特征性心电图T波形态识别。由于临床医生对心电图表现缺乏了解，该综合征也可能未被识别。本文描述了Wellens心电图形态及其在胸痛患者中的意义。
