Mini-Wellen’s EKG (minimal terminal T wave inversion in V2-V3) is highly predictive of high grade left main or proximal left anterior artery disease

Classic Wellen’s syndrome or by some authors described as inverted U waves is consistent of biphasic terminal T waves inversion usually seen in V2 and V3 leads highly predictive of high grade left main (LM) or proximal left anterior ascending artery (LAD) disease. In this case, we are reporting a case of minimal terminal T wave changes not large enough to qualify as Wellen’s EKG but similar to classic Wellen was associated with high grade LM and LAD disease despite negative troponins.