Classic Wellens B MI - MedEd Library

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Post PCI

Wellens B MI ECG FOAM Steve Smith Inferior ST Elevation and Hyperacute T-waves, but Patient is Pain Free. What is going on? Dr Smith's ECG Blog

1h after arrival

Wellens B MI ECG FOAM Steve Smith Inferior ST Elevation and Hyperacute T-waves, but Patient is Pain Free. What is going on? Dr Smith's ECG Blog

19 min later, pain free

Wellens B MI Reperfusion 12-lead ECG FOAM Steve Smith See this: Occlusion/Reperfusion/Re-occlusion/Reperfusion/Re-occlusion/Reperfusion Dr Smith's ECG Blog

6min later, pain free

Resolved Chest Pain Wellens B MI 12-lead ECG FOAM Steve Smith See this: Occlusion/Reperfusion/Re-occlusion/Reperfusion/Re-occlusion/Reperfusion Dr Smith's ECG Blog

After PCI

Up-Down T Wellens B MI 12-lead ECG FOAM Steve Smith A 53 year old with chest pressure has a diagnostic EKG (EKG 1). What is it? Chest pressure resolves (EKG 2) Dr Smith's ECG Blog

Next day

Wellens B MI Serial ECG 12-lead ECG FOAM Steve Smith Wellens' syndrome: to stent or not? IVUS negative, Symptoms persist, Stress Testing, Instantaneous Wave Free Ratio, and Fractional Flow Reserve. Dr Smith's ECG Blog

Next morning, pain free

Wellens B MI ECG FOAM Ken Grauer, Steve Smith How do you explain these inferior hyperacute T-waves? Dr Smith's ECG Blog

22h later

Wellens B MI ECG FOAM Ken Grauer, Steve Smith How do you explain these inferior hyperacute T-waves? Dr Smith's ECG Blog

18h later, chest pain

Wellens B MI ECG FOAM Ken Grauer, Steve Smith How do you explain these inferior hyperacute T-waves? Dr Smith's ECG Blog

Initial

Wellens B MI ECG FOAM Ken Grauer, Steve Smith How do you explain these inferior hyperacute T-waves? Dr Smith's ECG Blog

Next morning

Wellens B MI LAD occlusion ECG FOAM Steve Smith Look at II, III, aVF in this case, and the outcome..... Dr Smith's ECG Blog

Initial

Up-Down T -Wellens B MI LVH 2° Repol Δ ECG FOAM Steve Smith Wellens' waves are NOT equivalent to Wellens' syndrome: Pseudo-Wellens' due to LVH and HTN Dr Smith's ECG Blog

37min later

Benign Tinv -Wellens B MI ECG FOAM Steve Smith Is it Wellens' Syndrome? Dr Smith's ECG Blog

Post intervention

Wellens B MI ECG FOAM Steve Smith Septal STEMI with lateral ST depression, then has collateral reperfusion resulting in Wellens' waves Dr Smith's ECG Blog

2 days later

Wellens B MI ECG FOAM Steve Smith Wellens' syndrome, no culprit, what happened? Dr Smith's ECG Blog

Serial

T Memory -Wellens B MI Tinv Resolved LBBB ECG FOAM Steve Smith Chest pain and LBBB. LBBB resolves and there is V1-V3 T-wave inversion. Dr Smith's ECG Blog

27h later

Wellens B MI Reperfusion T Wave ECG FOAM Steve Smith Classic Evolution of Wellens' T-waves over 26 hours Dr Smith's ECG Blog

Initial

Wellens B MI RCA Occlusion Reperfusion T Wave ECG FOAM Steve Smith Pseudonormalization of T waves, Coronary occlusion without 1 mm ST elevation Dr Smith's ECG Blog

Resolved Chest Pain Wellens B MI Deeply Inverted T Wave Dynamic Serial ECG ECG FOAM Dawn Altman Teaching Series 1113: ECG 4 of 6 - Acute Anterior Wall M.I. ECG Guru

Resolved Chest Pain Wellens B MI Deeply Inverted T Wave Left Axis ECG FOAM Ed Burns ECG Case 061 LITFL

Wellens B MI Resolved Chest Pain ECG FOAM ECG of the Week - 6th June 2016 - Interpretation ECG of the Week

Wellens B MI Resolved Chest Pain Tall QRS ECG FOAM ECG of the Week - 29th December 2014 - Interpretation ECG of the Week