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Wellens syndrome: Subtle clues to big trouble

Geiter, Henry B. Jr. RN, CCRN

doi: 10.1097/01.CCN.0000365694.51871.a0
Department: Heart Beats

About 15% of patients admitted for unstable angina demonstrated ECG changes diagnostic for Wellens syndrome, a critical stenosis of the proximal left anterior descending coronary artery. Here's how to recognize this potentially fatal condition and intervene appropriately.

Henry B. Geiter, Jr., is a critical care nurse at Tampa General Hospital, Fla., a critical care transport nurse for Sunstar EMS of Clearwater, Fla., and owner of, a nurse resource website.

Adapted and updated from Geiter HB. Wellens' syndrome: subtle clues to big trouble. Nursing. 2004;34(6):32cc1–32cc4.

© 2010 Lippincott Williams & Wilkins, Inc.