#fridayimagechallenge (with answer)

A 54 year old man presents to the ED after experiencing chest pain while shoveling snow which has since resolved. EKG below wellens-a-good-example

 

answer 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!

http://jhcedecg.blogspot.com.au/2013/11/ecg-of-week-25th-november-2013_27.html

send your interesting images to utswecg@gmail.com