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Wellens Syndrome is the ECG pattern that looks harmless… right until the LAD closes and the patient returns in full anterior STEMI. In this video, I break down the story, anatomy, ECG changes, and clinical decision-making so you will never miss this pre-infarction warning again. This lesson covers: • The real-life case that started it all • What Wellens Syndrome actually means physiologically • Why the patient feels “better” when the ECG becomes dangerous • The coronary anatomy you must understand • Type A vs Type B Wellens (biphasic vs deep symmetrical inversion) • Why Wellens is not a STEMI equivalent • Why it still requires urgent angiography • Why stress testing is absolutely contraindicated • How to recognise the whisper before the occlusion • How to explain Wellens like you’re teaching a beginner • What to do next when you see it This video is designed for: • Medics learning ECGs • GP trainees and physician associates • Emergency clinicians • Medical students • Anyone preparing for exams or real-world acute care By the end of this lesson, you will understand exactly what Wellens looks like, what it predicts, and how to act fast before the anterior wall is lost.