| Electrocardiographic T-wave inversion: differential diagnosis in the chest pain patient. | |
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MedLine Citation:
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PMID: 11992349 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Geoffrey E Hayden; William J Brady; Andrew D Perron; Michael P Somers; Amal Mattu |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 20 ISSN: 0735-6757 ISO Abbreviation: Am J Emerg Med Publication Date: 2002 May |
Date Detail:
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Created Date: 2002-05-06 Completed Date: 2002-06-04 Revised Date: 2008-08-14 |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 252-62 Citation Subset: IM |
Copyright Information:
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Copyright 2002, Elsevier Science (USA). All rights reserved.) |
Affiliation:
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Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Arrhythmias, Cardiac / diagnosis*, etiology Bundle-Branch Block / diagnosis Chest Pain / diagnosis*, etiology Coronary Disease / complications, diagnosis* Diagnosis, Differential Digitalis / adverse effects Electrocardiography* Female Humans Male Middle Aged Pre-Excitation Syndromes / diagnosis Pulmonary Embolism / complications, diagnosis Stroke / complications, diagnosis |
| Comments/Corrections | |
Comment In:
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Am J Emerg Med. 2008 Jul;26(6):716-20
[PMID:
18606329
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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