Sinus rhythm, normal axis, no conduction abnormality. Bi phasic T wave in V1 V2 V3 with hi uptake ST segment in V2.
Dx - Wellens Syndrome highly specific for LAD stenosis even though pt is pain free.
Clexane 1.5mg/kg S/C or Heparin 500IU IV
Analgesia with Morphine or fentanyl based on BP and HR
Urgent cardiology consult and prepare pt for cath lab
Rachel Rosler - DEMT Casey