- HPI: 50M with intermittent squeezing chest pain, asymptomatic at time of ECG
- Cath:80% mid-LAD active lesion which was stented
- Key ECG: There is very subtle Wellens’ waves in V2, less subtle in V3, still less in V4. This is nearly diagnostic of Wellens’ syndrome: pain that resolves, biphasic T-waves with preservation of R-waves. It extends all the way out to V6, and there is some T flattening in I and aVL, so this is probably a proximal LAD lesion
- Link to full case @ Dr. Smith’s ECG Blog: 2013-11-15