What Are These Anterior T Waves?: A High-Risk Ischemic Pattern That Should Be Recognized

An 80-year-old woman with history of intermittent chest pain presented with a new self-limited episode. A 12-lead electrocardiogram was performed while she was asymptomatic, showing large T waves in V₁ to V₃. We report a not so known electrocardiographic pattern that can be particularly valuable for identifying patients at high risk of extensive myocardial infarction and its subsequent complications. It represents an interesting finding with clinical implications similar to Wellens syndrome but from a different point of view. We also suggest some features to learn how to recognize this ischemic electrocardiographic pattern.