Document Detail

Giant Inverted T waves in the emergency department: case report and review of differential diagnoses.
MedLine Citation:
PMID:  19781716     Owner:  NLM     Status:  MEDLINE    
Inverted T waves are frequently seen in electrocardiograms (ECGs) and may represent a myriad of pathologies or nonspecific change. However, deep (giant) inverted T waves are only seen in a few clinical conditions. Presence of giant T waves should generally prompt investigations for apical (Yamaguchi) variant of hypertrophic cardiomyopathy, raised intracranial pressure, severe myocardial ischemia, posttachycardia syndrome, and others. This report describes an unusual case of moderate but not massive pulmonary embolism presenting with an ECG finding of giant inverted T waves. A review of the common conditions associated with such an ECG is also presented.
Jayasree Pillarisetti; Kamal Gupta
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of electrocardiology     Volume:  43     ISSN:  1532-8430     ISO Abbreviation:  J Electrocardiol     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-03-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  40-2     Citation Subset:  IM    
University of Kansas Hospital, Kansas City, KS 66209, USA.
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MeSH Terms
Arrhythmias, Cardiac / diagnosis*,  etiology*
Diagnosis, Differential
Electrocardiography / methods*
Emergency Medical Services / methods
Middle Aged
Pulmonary Embolism / complications*,  diagnosis*

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