آلام في الجهة اليسرى من الصدر

• Normal sinus rhythm. Heart rate around 70 bpm.
• R wave progression seems to be intact.
• T wave inversion in V2-V4

• ST segment elevation is seen in V2-3
• The T wave inversion before are partially normalized

ECG points to consider: #

• Wellens syndrome have a pattern that is easily can be distinguished by a biphasic or deeply inverted T wave in V2-3.
• History is really important . A chest pain that is not resolved and ECG changes under pain episodes with what seems to be a normalization of the T wave but in actuality an infarction with STE pattern is suggestive for Wellens.
• The labs were not finished for this patient. but the recognition of the pattern lead to prioritization of this case for an urgent angiogram.