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).
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).