|Click to enlarge|
- 54 bpm
- Sinus arrhythmia
- PR - Normal (~160-180ms)
- QRS - Normal (100ms)
- QT - 440ms
- Nil significant change
- Deep T wave inversion leads V1-3 & aVL
- Prominent T waves III, aVF, V6
- Wellen's pattern
- Deep T wave inversion leads V1-3
- aVL inversion consistent with ACS
What happened ?
The patient had an angiogram which showed:
- Left main: Normal
- LAD: 80% mid stenosis
- Cx: 40% stenosis
- RCA: 60% proximal & 90% mid stenosis
More on Wellen's
Dr Smith's ECG Blog
- Rhinehardt J, Brady WJ, Perron AD, Mattu A. Electrocardiographic manifestations of Wellens' syndrome. Am J Emerg Med. 2002 Nov;20(7):638-43. PMID: 12442245 Full text here
- Mead NE, O'Keefe KP. Wellen's syndrome: An ominous EKG pattern. J Emerg Trauma Shock. 2009 Sep-Dec; 2(3): 206–208. Full text here.
Life in the Fast Lane
- Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.