This report discusses the nomenclature and clinical significance of specific ECG changes indicating proximal LAD ischemia, comparing the terms Wellens' syndrome and inverted U-waves.
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Urges precise ECG terminology for proximal LAD ischemia; leaves open standardization of Wellens' syndrome versus inverted U-waves.
This report describes an example of a patient with chest pain and classic electrocardiographic changes consistent with ischemia in the proximal left anterior descending coronary artery (LAD) territory. This electrocardiogram (ECG) abnormality is known as Wellens' syndrome. However, the same abnormality is also described as inverted U-waves. The significance of this abnormality and the controversy of describing this syndrome is reviewed and discussed.
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Mohammad Reza Movahed (2008) studied this question.
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