Literature Review: Wellens syndrome

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


A 55-year-old man presents to the ED with intermittent chest pain for 4 days. He has no known medical history and smokes 1 pack of cigarettes a day. He is asymptomatic on arrival. The following ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is your differential for biphasic T-waves?
  3. How would you treat this patient?