What are the diagnostic criteria for Wellens syndrome?

Updated: Jan 25, 2018
  • Author: Benjamin B Mattingly, MD; Chief Editor: Erik D Schraga, MD  more...
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Wellens syndrome is also referred to as LAD coronary T-wave syndrome. [2, 3] Syndrome criteria include the following:

  • Characteristic T-wave changes

  • History of anginal chest pain

  • Normal or minimally elevated cardiac enzyme levels

  • ECG without Q waves, without significant ST-segment elevation, and with normal precordial R-wave progression

Recognition of this ECG abnormality is of paramount importance because this syndrome represents a preinfarction stage of coronary artery disease (CAD) that often progresses to a devastating anterior wall MI.

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