Unstable Angina in the era of High sensitivity troponinwellensWellens' classic evolution6 Min Read Steve SmithonSeptember 5, 2025 Severe chest pain, resolved. Serial troponins nearly undetectable at 3 ng/L A 50-something woman with PMH only significant for hypertension (treated) presented by car to the emergency department with one week of…
terminal QRS distortiontransient ST elevationWellens' classic evolutionWellens' syndrome6 Min Read Steve SmithonSeptember 22, 2019 A 40-something healthy male with transient chest squeezing A 40-something man with Hx of treated HTN had chest “squeezing,” with SOB and diaphoresis, 10 hours prior to presentation. It…
Hyperacute T-waves in Paced Rhythmpaced rhythmT-wave inversion evolutionWellens' classic evolutionWellens' in Paced Rhythm2 Min Read Steve SmithonMay 10, 2015 Paced rhythm. Are there hyperacute T-waves? See the T-wave evolution, even in paced rhythm. This was sent to me by John Larkin, from Australia, who has a great ECG Blog called “ECG of the Week,” where he posted it, and…
serial ECGT-Wave inversionWellens' classic evolutionWellens' syndrome1 Min Read Steve SmithonMarch 20, 2011 Classic Evolution of Wellens’ T-waves over 26 hours A middle-aged patient presented with resolved chest pain. t = 0, presentation to ED: Initial ECG of 50 yo woman who had prehospital chest…