Tall T Waves: Myocardial Rupture
Report:
Sinus rhythm
Third degree AV block
Junctional escape rhythm 43/min
Prominent T waves
Comment:
A rare cause of tall T waves, not unlikely in this case, is free wall rupture167. Other causes (infarction, reciprocal change to remote infarction, hyperkalæmia) cannot be excluded; however, sudden EMD remains, to use D. H. Spodickâs tongue-in-cheek term, âsuggestoidâ of rupture. He actually refers to tall T waves in hæmopericardium of any ætiology, ascribing it to hæmolysis and local hyperkalæmia168.
The relatively short QT interval may reflect iatrogenous hypercalcæmia provoked by the EMD169.
238. Terminal strips of a 71 year old man in multiple organ failure
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