Dynamic T-wave inversions in the setting of left bundle branch block

H. Pendell Meyers, Stephen W. Smith

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


We illustrate the case a patient with left bundle branch block (LBBB) and electrocardiogram (ECG) changes consistent with those described in Wellens’ syndrome. The characteristic ECG findings of Wellens’ syndrome identify patients who have a particularly high rate of important coronary events in the near future, however these findings have previously been described only in the setting of normal conduction. A review of Wellens’ syndrome, its criteria and pathophysiology, and its proposed appearance in the setting of LBBB is presented.

Original languageEnglish (US)
Pages (from-to)938.e5-938.e7
JournalAmerican Journal of Emergency Medicine
Issue number6
StatePublished - Jun 2017


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