What year was Elena Sgarbossa born?
1960
What is considered a positive Sgarbossa score?
Greater than or equal to 3
What do the V2-V3 T waves look like?
Biphasic or deeply inverted
What cardiac tests are contraindicated for Wellens patients?
Stress tests
What is also known as LAD coronary T wave syndrome?
Wellens Syndrome
What year was the Sgarbossa criteria created?
1996
Define concordant
Same directions
How do Q waves appear on an ECG?
Q waves are absent
How long does it take for Wellen's Syndrome to appear or develop?
Days to weeks or can be acute
Sgarbossa's Criteria
What year was the Sgarbossa criteria modified?
2012
Define discordant
Different directions
How does the ST segment present?
Isoelectric or minimally elevated (<1 mm)
Which drugs have effects that mimic Wellens Syndome?
Cocaine + marijuana
This pattern presents in a pain free state with pseudo normalization of T waves
Wellens
What does the Sgarbossa criteria differentiate between?
LBBB & STEMI
What leads is Scarbossa criteria seen in?
V1, V2, V3
Septal + first anterior leads
What are some risk factors for Wellens?
Diabetes, Family history of heart diseases, hypertension, increased age, high cholesterol, hyperlipidemia, metabolic syndrome, occupational stress, smoking
What is the definitive care for Wellens?
LAD catheterization
Wellens Syndrome
What is the major difference between the original + modified criterias?
How many spongebob references were given during this presentation?
74
Who worked with Wellens to develop the identification of the syndrome?
Gerson and De Zwaan
What medication can be used to treat Wellens?
Oxygen, Aspirin, Nitrates, anti-coagulants
Which is the most difficult to detect?
Debatable