- HPI: 55M with 4 days intermittent chest pain,
- Cath: no culprit, 50-60% narrowing of the proximal LAD with high plaque burden, the vessel reoccluded on hospital day 3 with clear ST elevation for which pt recieved stent
- Key ECG: There is a suggestion of terminal T-wave inversion in V2, highly suggestive for early Wellens’ syndrome. There is T-wave inversion in I and aVL highly suggestive of ACS.
- Link to full case @ Dr. Smith’s ECG Blog: 2011-10-29