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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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A patient with chest pain and a high-risk ECG pattern: The Wellens' syndrome

Sven Baasen1, Manuel Stern1, Verena Veulemans1

  • 1Division of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University of Dusseldorf Dusseldorf Germany.

Clinical Case Reports
|April 3, 2023
PubMed

Insights

This case study explains ECG interpretation for acute coronary syndrome without ST-elevation myocardial infarction. Deep T-wave inversions in V2-V3 indicate high myocardial infarction risk, necessitating prompt cardiac evaluation.

Area of Science:

  • Cardiology
  • Electrocardiography
  • Emergency Medicine

Background:

  • Acute coronary syndrome (ACS) diagnosis can be challenging without ST-elevation myocardial infarction (STEMI).
  • Electrocardiogram (ECG) interpretation is crucial for identifying at-risk patients.
  • Identifying specific ECG findings aids in early diagnosis and intervention.

Observation:

  • A patient presented with acute chest pain.
  • The patient's ECG showed biphasic or deeply inverted T-waves in the V2-V3 leads.
  • These findings are indicative of potential myocardial infarction.

Findings:

  • The presence of biphasic or deep inverted T-waves in precordial leads (V2-V3) is a significant indicator of myocardial infarction, even in the absence of ST-segment elevation.
  • This specific ECG pattern suggests acute myocardial injury and warrants urgent attention.

Implications:

  • Prompt cardiological assessment and intervention are critical for patients with these ECG findings.
  • Early diagnosis and treatment can improve patient outcomes and reduce myocardial damage.
  • Coronary angiography is essential for definitive diagnosis and guiding further management.

Keywords:
T‐wave changesWellens' syndromeangina pectorismyocardial infarction

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