- HPI: 55M with exertional chest pain, worse on day of presentation
- Cath: Moderate hazy Eccentric plaque in the ostial/proximal LAD assessed via intravascular ultrasound (IVUS), which showed that the lesion on the Proximal LAD had 50% stenosis but without evidence of ruptured plaque.
- Key ECG: classic Wellens’ pattern A (biphasic, terminal T-wave inversion), and it is Wellens’ syndrome (Angina, resolved — pain free — with preserved R-waves and Wellens’ pattern A T-waves). The morphology of these T-waves is very distinct. The pattern manifests a rising ST segment with a sudden fall into the slightly negative T-wave
- Link to full case @ Dr. Smith’s ECG Blog: 2021-01-28