Wellens Syndrome Criteria (ECG)

Checks a 12-lead tracing against the Wellens criteria, the precordial T-wave pattern of critical proximal LAD stenosis.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

T waves in V2-V3
Biphasic in V2-V3 (type A)
ST segment in V2-V3
Isoelectric or elevated less than 1 mm
Precordial Q waves
No
Precordial R-wave progression
Preserved
Recent anginal chest pain
Yes
Tracing taken while pain-free
Yes
Cardiac markers
Normal

Result: Meets the Wellens criteria, type A: the precordial T-wave pattern associated with critical proximal LAD stenosis.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • T waves in V2-V3
  • ST segment in V2-V3
  • Precordial Q waves
  • Precordial R-wave progression
  • Recent anginal chest pain
  • Tracing taken while pain-free
  • Cardiac markers
How this is calculated

Citation

de Zwaan C, Bar FW, Wellens HJ. Am Heart J. 1982;103(4 Pt 2):730-736. Rhinehardt J, Brady WJ, Perron AD, Mattu A. Electrocardiographic manifestations of Wellens syndrome. Am J Emerg Med. 2002;20(7):638-643. Read the sources: Rhinehardt 2002 ↗, Criteria list (2023) ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.