Are These Wellens’ Waves??
This is a repost. I’ve received a few questions like this, so wanted to re-inforce the idea of down-up vs. up-down T-waves Case:…
A Very Elderly Male with a Fall and no Chest Pain
A very elderly man fell and injured his face. There is always the possibility of syncope as the etiology of a fall, especially in an…
2 Cases of Resolved Chest Pain with Dynamic Terminal T-wave Inversion
Here are two different series of ECGs in 2 different patients with chest tightness/discomfort that resolved. Case 1 A 20-something with chest…
Subtle Dynamic T-waves, Followed by LAD Occlusion and Arrest
This case was written by Sam Ghali: (@EM_RESUS). Thanks, Sam! Case A 42-year-old lady presented to the ED with complaints of…
Subtle LAD Occlusion with Pseudonormalization of Wellens’ Waves.
Here is another patient I saw a few weeks ago He is in his 30’s and presented with many hours of chest pain. Here is his…
Dynamic T-wave inversion (apparent Wellens’ waves), all troponins negative: Unstable Angina
This middle-aged woman presented with increasing intermittent substernal chest discomfort similar to her GERD, but not relieved by the usual…
Pseudonormalization of Wellens’ Waves
A male in his 60’s complained of intermittent chest pain all day. He was vague as to whether there was active chest pain, but it…
Why we need continuous 12-lead ST segment monitoring in Wellens’ syndrome
Also see this incredible case of the use of 12-lead ST Segment monitoring. This was a male in his 50’s with a history of hypertension…
Chest pain and Transient ST Elevation
A 56 year old diabetic male with family history of young MI and prior CAD with stent was awoken by typical substernal chest pain. He had…
Septal STEMI with lateral ST depression, then has collateral reperfusion resulting in Wellens’ waves
A middle-aged male presented with 1.5 hours of 8/10 chest pain associated with diaphoresis and vomiting. He has a prior history of…