Reverse Wellens Waves: not all biphasic T waves are indicative of ACS!

ECG Weekly Workout with Dr. Amal Mattu


A 25-year-old woman presents to the emergency department with lightheadedness and palpitations for 1 week. Her symptoms worsened today with a near-syncopal episode. She is thin/frail and dehydrated in appearance. The following ECG was obtained:

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

  1. What ECG abnormalities do you notice?
  2. What is your differential diagnosis for the ST segment and T wave abnormalities seen?
  3. What is the diagnosis and treatment?