Wellens waves

Weekly Workout June 26, 2023
STAT ECG Diagnoses: distinguishing STEMI from pericarditis, and the difference between Wellens waves and Wellens syndrome

A 54-year-old man presents to the emergency department with acute sharp chest pain that is positional and pleuritic. The following ECG is obtained:

Weekly Workout May 8, 2022
STAT ECG Diagnoses: review of the causes of T wave inversions and detailed explanation of Wellens syndrome

A young African American male who appears to be in his mid-20s is brought into the ED for decreased level of consciousness. There is some concern by EMS for suspected…

Weekly Workout May 17, 2021
Differential Diagnoses: T wave inversions and a discussion about Wellens syndrome

 A 37-year-old male presents to the ED with a brief episode of sharp epigastric pain followed by ongoing nausea and diaphoresis. Exam is otherwise non-diagnostic. The following ECG is obtained…

Weekly Workout September 28, 2015
STAT ECG Diagnoses: abnormal T waves that suggest badness and their mimics

A 20-year-old man presents to the ED with chest pain. He has no past medical history, normal vital signs, and a normal exam. The following ECG is obtained:

Weekly Workout September 21, 2015
STAT ECG Diagnoses: activate the cath lab or get an urgent cardiology consult?

A 65-year-old woman is brought in by EMS with chest heaviness and mid-scapular pain for the past two hours. She received Aspirin and Nitroglycerin en route and arrives asymptomatic. The…

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