We describe the case of a 40-year-old woman who presented to the Emergency 
Department with resolving chest pain. The initial electrocardiogram (ECG) showed 
biphasic T-waves in V2-V4, which was recognized as Wellens' syndrome, or acute 
coronary T-wave syndrome. Emergent cardiac catheterization revealed 95% stenosis 
of the previously placed stent in the proximal left anterior descending artery 
(LAD). Review of her records from 3 years prior revealed similar ECG findings 
consistent with Wellens' syndrome, at which time a stent was placed for critical 
proximal LAD stenosis. We report this case to increase awareness of the T-wave 
abnormalities associated with Wellens' syndrome. There is significant morbidity 
and mortality that can occur in the absence of emergent coronary 
revascularization. This report of repeated Wellens' syndrome in the same patient 
demonstrates both types of precordial T-wave abnormalities that characterize 
Wellens' syndrome.