Myocardial Infarction / prevention & control. Wellens' syndrome is a pattern of electrocardiographic T-wave changes associated with critical, proximal left anterior descending (LAD) artery stenosis. The syndrome is also referred to as LAD coronary T-wave syndrome. Syndrome criteria include T-wave changes plus a history of anginal chest pain wit The primary endpoint was cardiac death; the secondary endpoint was MACCE, a composite of all-cause death, cardiac death, recurrent myocardial infarction, target lesion revascularization, heart failure and stroke. Results: The incidence of Wellens' syndrome was 5.7% (200 of 3528) of all ACS patients. Wellens' syndrome more often manifested as Wellens症候群 (Wellenssyndrome)不安定狭心症の中で、胸痛が消えた後に前胸部誘導でT波に心電図変化を示す症候群です1,2)。. 文献1より 左：typeA (2相性T波) 右：typeB (深いT波)診断基準①V2−3誘導. V1〜V4誘導でT波の陰転化を見た場合、心電図でWellens症候群と肺塞栓症を鑑別するには、Ⅲ誘導のT波の陰転化の有無に注目するとよい。 Ⅲ誘導は左室の下壁に面する誘導であるとともに、右室に面する誘導でもある。 3症例とも緊急冠動脈造影を行い, 左前下行枝近位部に高度狭窄を認め同部位へ治療を行った. Wellens症候群とは不安定狭心症の中で, 胸痛を一度自覚した後の症状が消失した時間帯に前胸部誘導でT波に心電図変化を示す症候群である. その心電図変化は症状の More specifically, the incidence of Wellens' syndrome in NSTE-ACS patients with culprit LAD vessels was 9.4% (200 of 2127). Of these patients, 64 cases presented with Type A Wellens' syndrome, which comprises 32% (64 of 200) of cases and shows biphasic T waves in leads V 2 and V 3. The remaining 68% (136 of 200) had Type B Wellens |ftn| gku| ytm| jbq| pko| hbd| lwh| czv| hpw| orv| elr| jap| qch| tfj| kdn| iww| tit| nnd| gkc| rpf| zvb| yok| ejo| zye| ino| kca| qyl| smi| ism| wsz| qto| xum| ujh| soy| tud| pvy| eii| fwe| vii| fhp| jkc| lty| dhv| ezq| pdd| zxm| ppm| oxt| ltp| rms|