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Episode 182.0 – Wellens

Core EM - Emergency Medicine Podcast

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The Two Primary EKG Patterns That Pretend Complete LED Stenosis

Dutch cardiologist Dr. Wellins writes his paper demonstrating two primary EKG patterns that pretend complete LED stenosis. In the original paper, they followed 145 patients consecutively admitted because of unstable angina. Some would send these patients for stress testing then boom, V-fibb arrest. 75% of those patients who had no procedural intervention developed extensive anterior wall infarction within a few weeks after presentation.

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