Isolated U Wave Inversion
Report:
Sinus rhythm 82/min
Nonspecific T wave changes
T3 > T1, TV1 > TV6, consistent with ischæmia
Negative U waves
Comment:
U waves are common; their isolated (from the T wave) negativity is rare and constitutes a surprisingly specific marker of the LAD artery (the artery of sudden death) disease. They are best seen here in leads V4 and V5.
This patient had no autopsy; my report of this ECG described enough coronary disease for the patientâs physician to issue a Death Certificate. I remonstrated, pointing out that even the cause of her jaundice remained undiagnosed. He said her family did not want a post mortem - we had no right to inflict it on them. As I grew older and, possibly, wiser, I came to agree with him51.
72. 78 year old lady with chronic hypertension and COAD, but no cardiac history.
If you have any suggestions for or feedback on this report, please let us know.
Hi, can we chat about some terms and conditions?
The library and its records are licensed under the Creative Commons Attribution 4.0 International license.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
By clicking agree below, you are agreeing to adhere to CC BY 4.0.