Monthly Archives: March 2017

BET 1: IN PATIENTS WITH SUSPECTED ACUTE CORONARY SYNDROME, DOES WELLENS’ SIGN ON THE ELECTROCARDIOGRAPH IDENTIFY CRITICAL LEFT ANTERIOR DESCENDING ARTERY STENOSIS?

Jean-Francois Hibbert recommends

Wellens’ syndrome consists of a history suggestive of an acute coronary syndrome and biphasic or deeply inverted T waves in ECG leads V2–V3. A shortcut review was carried out to establish whether this ECG pattern identifies patients with a critical left anterior descending artery stenosis. Six relevant papers were found. The clinical bottom line is that biphasic T-wave inversion in lead V2–V3 should alert the clinician to a probable critical stenosis of the left anterior descending artery.

from Emergency Medicine Journal Best evidence topic reports http://ift.tt/2mWPA3L