Wellens’S yndrome (웰렌 증후군) – Pattern of abnormal Twaves in the precordial leads V2, V3 related with★critical stenosis of LA Dartery Type: 75% of patients with wellen S Dhave inverted Twaves, and 25% patientshave biphasic Twaves inthes.-InV1,V4or V6 possible Whenally Tossible warewhormaly
V2부터 V5까지 Twave in versi on 보여줌
Wellen Biphasic TypeGene r al Criteria for Wellens’ Syndrome• History of episodic chest pain consistent with unstable angina• During pain, the ECG may not display abnormal T waves• When pain free, abnormal T waves seen, most prominent in leads V2 and V3, often in leads V1 and V4, and occasionally in leads V5 and V6• Deep symmetriceen in about 75% of Wellens’ syndrome patients• Biphasic T waves seen in about 25% of Wellens’ syndrome patients· No pathologic Q waves or loss of R waves· Normal or minimally elevated ST segments· Normal or minimally
Dewinter Syndrome(드윈터)·Anterior★STEM Iequivalent that presents without obvious STsegmentelevationKeydiagnosticfeatures:STdepressionandpeaked Twaves in the precordial leads.·Thes
De winter SD
Sgarbossa criteria·Concordant ST elevation > 1mm (in any lead) = Most specific for MI in LBB, Concordant ST depression > 1mm (in LBBBBB, Specific for V=VBBB, Concordant ST depression > 1mm
Sgarbossa
Scoring하여 LBB로 급성 심근경색 진단