Document Detail

Electrocardiographic T-wave inversion: differential diagnosis in the chest pain patient.
MedLine Citation:
PMID:  11992349     Owner:  NLM     Status:  MEDLINE    
Inverted T waves produced by myocardial ischemia are classically narrow and symmetric. T-wave inversion (TWI) associated with an acute coronary syndrome (ACS) is morphologically characterized by an isoelectric ST segment that is usually bowed upward (ie, concave) and followed by a sharp symmetric downstroke. The terms coronary T wave and coved T wave have been used to describe these ischemic TWIs. Prominent, deeply inverted, and widely splayed T waves are more characteristic of non-ACS conditions such as juvenile T-wave patterns, left ventricular hypertrophy, acute myocarditis, Wolff-Parkinson-White syndrome, acute pulmonary embolism, cerebrovascular accident, bundle branch block, and later stages of pericarditis.
Geoffrey E Hayden; William J Brady; Andrew D Perron; Michael P Somers; Amal Mattu
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  20     ISSN:  0735-6757     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-05-06     Completed Date:  2002-06-04     Revised Date:  2008-08-14    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  252-62     Citation Subset:  IM    
Copyright Information:
Copyright 2002, Elsevier Science (USA). All rights reserved.)
Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA.
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MeSH Terms
Arrhythmias, Cardiac / diagnosis*,  etiology
Bundle-Branch Block / diagnosis
Chest Pain / diagnosis*,  etiology
Coronary Disease / complications,  diagnosis*
Diagnosis, Differential
Digitalis / adverse effects
Middle Aged
Pre-Excitation Syndromes / diagnosis
Pulmonary Embolism / complications,  diagnosis
Stroke / complications,  diagnosis
Comment In:
Am J Emerg Med. 2008 Jul;26(6):716-20   [PMID:  18606329 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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