Differential Diagnoses: T wave inversions and a discussion about Wellens syndrome

ECG Weekly Workout with Dr. Amal Mattu


 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 on arrival with no prior ECGs available for comparison:

Before watching the video, look closely at this ECG and ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is your differential for the ST segments and T wave abnormalities?
  3. Would you activate the cath lab?