SAQ 388 – Cardiology – Wellens syndrome requiring transfer for PCI

Marked out of 12.00

At the start of a morning shift in a rural hospital, you review a 50-year-old man who presented overnight with chest pain that has now resolved. He has hypertension and hypercholesterolaemia and received aspirin on arrival. The pain-free ECG is shown below.

His initial troponin was negative, and the medical team has requested admission to a non-telemetry ward bed. Current observations are shown below.

Observation Result
Heart rate 85/min
Blood pressure 175/95 mmHg
Oxygen saturation 98% on room air
Respiratory rate 16/min
Pain-free ECG with anterior biphasic T-wave changes consistent with Wellens syndrome.
ECG

State four (4) key ECG features.

(Marked out of 4.0)


/ 4

State the most likely diagnosis and the underlying pathology.

(Marked out of 2.0)


/ 2

List six (6) further actions you would take.

(Marked out of 6.0)


/ 6

Total Score: 0 / 12

Percentage: 0%

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