A 54 year old man presents to the ED after experiencing chest pain while shoveling snow which has since resolved. EKG below
answer: wellen’s syndrome (wellen’s t waves)
The syndrome is characterized by chest pain free EKG with biphasic T waves (type A) or deeply inverted T waves (type B) in V2/V3 (can extend further across precordium) in a patient with recent angina. Biomarkers are typically normal or slightly elevated.
This is an important pattern to identify as it is a highly specific marker for significant lesion in the LAD with high risk for anterior wall MI in days-week time period.
Here’s a great ekg of the week blog with further info. strong work those who identified this impt finding!
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