Thursday, 19 November 2009

90 yof CC: Chest discomfort

EMS responds to a 90 year old female with a chief complaint of chest discomfort.

The pain is resolved by EMS arrival.

A 12-lead ECG is captured.

History of chronic stable angina.

Your thoughts on the ECG?

*** Update 11/20/2009 ***

Here's an image from Rhinehardt et al. Electrocardiographic Manifestations of Wellens’ Syndrome. Am J Emerg Med 2002;20:638-643.

What do you think? I'm not 100% convinced but it's an interesting possibility!

On the other hand, all the cases of Wellens' Syndrome in the article show the Wellens T-wave in lead V2 (notably absent in this ECG).