{"pk":35877,"title":"Wellens Syndrome Corollaries: A Call for Definition with a Case Series","subtitle":null,"abstract":"<p><strong>Introduction</strong>: First described in 1982, the Wellens wave is an electrocardiographic (ECG) finding indicative of a critical lesion of the left anterior descending artery. These T-wave findings are classically found in ECG leads V2 and V3, although they may extend into the lateral leads V4-V6.</p>\n<p><strong>Case Series</strong>: We present three cases of patients with Wellens waves that were found only in leads V3 and V4 and did not include V2.</p>\n<p><strong>Conclusion</strong>: We suggest that the classical definition of T-waves in leads V2 and V3 is not the only manifestation of Wellens waves to indicate pathology. Wellens waves found in two contiguous leads in leads V1-V6 can be considered Wellens corollaries, thereby requiring the same emergent treatment as classical Wellens syndrome. We also recognize the need for a consensus on the inclusion criteria of Wellens syndrome, particularly the laboratory and ECG findings that define the disease.</p>","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Wellens"},{"word":"electrocardiogram"},{"word":"ischemia"},{"word":"left anterior descending artery"},{"word":"acute coronary syndrome"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/30p9d7hn","frozenauthors":[{"first_name":"Addison","middle_name":"Rayne","last_name":"Sparks","name_suffix":"","institution":"The University of Toledo College of Medicine & Life Sciences, Department of Emergency Medicine, Toledo, Ohio","department":""},{"first_name":"Patrick","middle_name":"","last_name":"Bruss","name_suffix":"","institution":"Promedica Monroe Emergency Medicine Residency, Department of Emergency Medicine, Monroe, Michigan","department":""}],"date_submitted":"2024-10-08T03:51:16.484000Z","date_accepted":"2025-02-17T07:44:08.141000Z","date_published":"2025-06-08T19:10:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/35877/galley/38472/download/"}]}