Journal of Electrocardiology
Volume 43, Issue 1 , Pages 40-42 , January 2010

Giant Inverted T waves in the emergency department: case report and review of differential diagnoses

  • Jayasree Pillarisetti, MD

      Affiliations

    • University of Kansas Hospital, Kansas City, KS, USA
    • ,
  • Kamal Gupta, MD

      Affiliations

    • University of Kansas Hospital, Kansas City, KS, USA
    • Mid America Cardiology Associates, University of Kansas Hospital, Kansas City, KS, USA
    • Corresponding Author InformationCorresponding author. Department of Medicine, University of Kansas Hospital, 4901 Rainbow Blvd., Kansas City, KS 66209, USA.

Received 9 February 2009

References 

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  2. Goldberger AL. Deep T-wave inversions: ischemia, cerebrovascular accident or something else?. ACC Curr J Rev. 1996;28
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  4. Rhinehardt J, Brady WJ, Perron AD, Mattu A. Electrocardiographic manifestations of Wellens' syndrome. Am J Emerg Med. 2002;20:638
  5. Mirvis AM, Goldberger AL. Electrocardiology. In: Braunwald E, Zipes DP, Libby P editor. Heart disease; a textbook of cardiovascular medicine. 7th ed.. Philadelphia: WB Saunders; 2005;p. 141
  6. Michael R, Rosen S, Cohen IS. Cardiac memory … new insights into molecular mechanisms. J. Physiol. 2006;570:209
  7. Punukollu G, Gowda RM, Khan IA, Wilbur SL, Vasavada BC, Sacchi TJ. QT interval prolongation with global T-wave inversion: a novel ECG finding in acute pulmonary embolism. Ann Noninvasive Electrocardiol. 2004;9:94
  8. Behar JV, Howe CM, Wagner NB, et al. J Electrocardiol. 1991;24:231
  9. Ferrari E, Imbert A, Chevalier T, Mihouhi A, Morad P, Baudouy M. The ECG in pulmonary embolism. Predictive value of negative T waves in precordial leads—80 case reports. Chest. 1997;111:537
  10. Love WS, Brugler GW, Winslow N. Electrocardiographic studies in clinical and experimental pulmonary embolization. Ann Intern Med. 1938;11:2109
  11. Dack S, Master AM, Horn H, et al. Acute coronary insufficiency due to pulmonary embolism. Am J Med. 1949;7:464
  12. Sarin S, Elmi F, Nassef L. Inverted T waves on electrocardiogram: myocardial ischemia versus pulmonary embolism. J Electrocardiol. 2005;38:36

☆ Drs Jayasree Pillarisetti and Kamal Gupta have no conflicts of interest to disclose.

PII: S0022-0736(09)00377-X

doi: 10.1016/j.jelectrocard.2009.08.048

Journal of Electrocardiology
Volume 43, Issue 1 , Pages 40-42 , January 2010

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