71 year old male with a 2-3 week history of exertional chest pain, seen in chest pain clinic and dx stable angina. Last 2-3 days has had chest pain at rest. Since the previous evening has had severe central/band like chest pain radiating to the shoulders, keeping him up all night. In the morning was seen by PCP, no ECG available but administered sublingual nitrates which rapidly relieved pain. ECG taken approximately 15 minutes later. Suggested management/dx?

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Wellens syndrome .. It refers to these specific electrocardiographic (ECG) abnormalities in the precordial T-wave segment, which are associated with critical stenosis of the proximal left anterior descending (LAD) coronary artery. Wellens syndrome is also referred to as LAD coronary T-wave syndrome.. ?Ant.Wa.MI

Prolonged qtc Inversion of T in avl v2v3v4 v5 v6 is significant Slightly raised t v1 Findings suggest anterolateral ischimia Needs angiography sos angioplasty Cardiac enzymes and trop i

Thanx dr Dinesh Gupta
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ANTERIOR WALL MYOCARDIAL INFARCTION WITH SINUS BRADICARDIA

Sinus bradycardia, t wave inversion with biphasic in precordial leads v1to v4.wellens pattern.

Sinus bradycardia T wave inversion in Anterolateral leads suggestive of Anterolateral wall ischemia

NSR 1st degree heart block Non STEMI in Antero SEPTAL area . Sinus bradycardia ICU, serial ECGS, troponin, angio

Wellens's syndrome.. ? Ant wall MI. Needs further investigations and evaluation to conclude diagnosis and line of treatment.

Thanks Dr Mehul Hundiwala
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Severe bradychardia,wallens syndrome,ant wall mi

Prolonged P-R.deep T wave inversion in v1 to b4.? Wellens sign of proximal LEAD block.immediate cathlab activation for further intervention.

SUGGESTIVE OF WELLENS SYNDROME

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