Truncal Vagotomy and the T Wave
Report:
Sinus ? atrial rhythm.
Borderline left axis deviation -30o
LVH voltage.
Incomplete RBBB.
Non-specific ST/T changes.
Comment:
The ST/T changes are non-specific (they always are) but the "widely splayed" T wave inversion, most marked in anteroseptal leads, with prolonged QT interval, is unusual. In the absence of other ascertainable causes, truncal vagotomy appears responsible160.
On the other hand, there are at least 3 cases of T wave inversion following general anæsthesia in this Library alone. It could well be that GA, rather than truncal vagotomy, inverted the T waves.
227. 63 year old man transferred from CCU with pulmonary Ådema, clostridial sepsis and malignant pericardial tamponade. Two ECG findings are remarkable by their absence
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