WELLENS_TYPE_A
Technical documentation
Wellens Syndrome Type A (Biphasic T)
Biphasic T waves (+/- with initial positive and terminal negative phase) in V2-V3 with isoelectric or minimally elevated ST (< 1 mm). Represents critical stenosis (>90%) of proximal LAD during reperfusion or post-ischemic period. Requires urgent coronary angiography to prevent impending massive anterior infarction.
Also known as: Wellens Syndrome Type A (Biphasic T) · sindrome de Wellens tipo A · Wellens A · Wellens tipo A · Wellens bifasico · patron de Wellens bifasico · Wellens syndrome type A · Wellens syndrome A
What parameters does the model use?
The following values are applied by the simulation engine to this entity. They govern activation kinematics in the 3D model and the real-time synthesis of the 12-lead electrocardiogram.
What parameters does the model use?
| Parameter | Model value |
|---|---|
| Occlusion severity | Subtotal |
| Compatible territories | LAD_VERY_PROX, LAD_PROX, LAD_MID |
Frequently asked clinical questions
How is Wellens Syndrome Type A (Biphasic T) identified on the 12-lead ECG?
Biphasic T waves (+/- with initial positive and terminal negative phase) in V2-V3 with isoelectric or minimally elevated ST (< 1 mm). Represents critical stenosis (>90%) of proximal LAD during reperfusion or post-ischemic period. Requires urgent coronary angiography to prevent impending massive anterior infarction. The characteristic diagnostic waveforms are generated in real time across the simulated 12-lead tracing.
Which leads are critical for diagnostic confirmation?
The primary diagnostic leads are 12 derivaciones. Biphasic (+/-) T waves in anterior precordial leads V2-V3 with isoelectric ST segment. In the simulator, these channels highlight the correlation with anatomical vectors.
What is the underlying electrophysiological or anatomical mechanism?
It represents transmural ischemia secondary to occlusion in the territory of the culprit coronary artery.
How can this condition be explored in the 3D simulator?
MioAtlas offers direct deep-link reproducibility with preconfigured parameters, allowing full 3D cardiac rotation and lead vector inspection.
How do you open this configuration?
The simulator encodes its full state in the query string, providing a stable and reproducible URL:
https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_PROX&phe=WELLENS_TYPE_A&sev=SUBTOTAL
Related entities
Other entities in the same category within the catalog:
Sources and bibliographic references
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Wagner GS, Macfarlane P, Wellens H, et al. (2009). "AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: Part VI: Acute ischemia/infarction". Circulation.
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Thygesen K, Alpert JS, Jaffe AS, et al. (2019). "Fourth Universal Definition of Myocardial Infarction (2018)". Eur Heart J.
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Rao SV, O'Donoghue ML, Ruel M, et al. (2025). "2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes". Circulation.