Electrocardiogram Lead Selection Using Critical Thinking: Concerning Women and Heart Disease and a Case of Wellens Syndrome Moseley, Marthe J.; Allen, David; Martell, Maximino Moseley, Marthe J.; Allen, David; Martell, Maximino Less Dimensions of Critical Care Nursing. 29(6):253-258, November-December 2010. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Abstract: In Brief: Understanding that significant electrocardiographic changes can occur in the absence of chest pain can present a challenge. This article will discuss the leading cause of death of women in the United States-heart disease. The physiology of Wellens Syndrome is also presented along with recommendations for critical care nurses.