Mel shows us a clip of Swadron who takes us on a tour of Wellens syndrome.
I think it is important to add that this is a finding when the patient is chest pain free. If they had chest pain and now are pain free and their EKG looks like this then you need to be thinking about activating the lab.
That is absolutely correct and thank you for pointing that out! The Wellens pattern is seen during a pain free interval. In fact, when such patients have pain, their T waves may actually normalize, a type of dynamic ECG change. This finding very concerning for a near-total, or intermittently total occlusion of the left main or anterior descending artery.
What you do matters.