A negative troponin, resolved chest pain, and a "normal" ECG does not exclude ACS requiring emergent intervention
A 78-year-old man presents following a self-resolved episode of right axillary pain. Add this characteristic ECG pattern to your list of spot diagnoses.
Wellens syndrome - learn how to recognise this sign of critical LAD occlusion, with some great ECG examples from the LITFL ECG library
These ECGs were taken from a 40 yr old male who presented with a 60 minute history of central chest pain. Describe and interpret his ECG
The previous evening, a 59 year old man experienced an hour long episode of chest pain which resolved spontaneously. He has had no further chest pain, but encouraged by his family he presents to ED the next morning. A bedside cardiac troponin test is negative. This is his ECG taken at the same time.
A 74 yr old patient presents to the ER having suffered several episodes of chest pain over the preceding 24 hours. Describe and interpret his ECGs. LITFL Top 100 ECG
Wellens Syndrome = high grade LAD or LM coronary lesion
Middle-aged patient presenting with an episode of chest pain. Currently asymptomatic. Describe and interpret his ECG. wellens
Middle-aged patient presenting with central chest pain. Now asymptomatic. Interpret the ECG. Biphasic T waves. Wellens
Henrick Joan Joost (Hein) Wellens (1935 - ) is a Dutch cardiologist. Eponymously affiliated with Wellens syndrome in 1982