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 http://www.nurse411.com, a nurse resource website.
Adapted and updated from Geiter HB. Wellens' syndrome: subtle clues to big trouble. Nursing. 2004;34(6):32cc1–32cc4.