ECG library
Deep anterior T inversion (Wellens pattern)
advancedA 58-year-old whose chest pain resolved in the ambulance. He feels fine and wants to go home.
25 mm/s · 10 mm/mV · synthetic tracing
100%
Calipers:2000 ms50.0 small boxes30 bpm if R-RDrag the orange markers. One small box = 40 ms.
Key findings
- Deep symmetric anterior T inversion
- Pain-free at the time of the ECG
- Preserved R waves
Learning points
- The danger is the reassurance: pain resolved, troponin may be minimally raised, and the LAD is critical.
- Stress testing this pattern is the classic error; these patients go to angiography.
Connected