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…
First ED ECG is Wellens’ (pain free). What do you think the prehospital ECG showed (with pain)?
This male in his 40’s had been having intermittent chest pain for one week. He awoke from sleep with crushing central chest pain…
Pseudo-Wellens’ Syndrome due to Left Ventricular Hypertrophy (LVH)
A 52 year old male presented with epigastric pain, continuing in the emergency department. He has a history of hypertension, and is on…
Wellens’ syndrome, no culprit, what happened?
A 55 yo male with h/o smoking complained of 4 days of intermittent chest pain lasting up to a few hours each day. He presented to the ED…
Reversible T-wave inversion — it reverses, then evolves, then reverses when ischemia is gone. Normalization of T-waves, NOT pseudonormalization.
A 62 yo male has had chest pain with exertion for 2 weeks. He began having chest pain at rest at 2AM, and presented at 7 AM. Here is his…
Chest pain and LBBB. LBBB resolves and there is V1-V3 T-wave inversion.
A 59 year old man with no cardiac history was at work when he developed very typical substernal chest pressure. He went to a clinic…
Wellens’ missed. Then returns with Wellens’ with dynamic T-wave inversion
This 53 year old woman presented with increasing intermittent substernal chest discomfort similar to her GERD, but not relieved by the usual…
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…
Chest Pain, SOB, anterior T-wave inversion, positive troponin
This 38 yo male presented with chest pain with activity for 4 days, worse on the day of presentation, and associated with SOB. He has a…
Chest pain, resolved: don’t forget to look at the previous and the prehospital ECG
This is a 58 year old woman with a history of inferior MI. She has had a week of intermittent substernal chest heaviness associated with…