- HPI: 40F with intermittent chest pain
- Cath: 99% acute proximal LAD thrombosis. It was opened and stented.
- Key ECG: There is deep T-wave inversion in proximal LAD territory (V2-V4, I, aVL) that is all but diagnostic of Wellens’. This is acute ACS, but it almost always seen in a pain free state. Since the patient has active pain now, if this is indeed Wellens,’ she must be re-occluded at this moment.
- Link to full case @ Dr. Smith’s ECG Blog: 2023-03-13