Global T Wave Inversion
Report:
Sinus rhythm
Normal axis
LVH with ST/T changes ± ischæmia
Comment:
The peculiar thing is that this kind of T wave inversion has a striking preponderance in the elderly woman and is usually not ischæmic, let alone infarctional203. The pattern involves inversion in all the leads except aVR with or without any of the following: (i) V1 upright or inverted; (ii) aVF inverted, while 3 need not be inverted; 1 inverted, aVL need not be inverted.
No evidence of ischaemia or infarction (or new CVA) was associated with this case of global T wave inversion. As usual, it was a non-ischæmic non-event, but almost certainly in a patient with provable (if needs be) IHD.
This patient had a rather nondescript ECG 3 months previously (Fig 272a).
272a.
273. 30 year old man with MOF due to ruptured bowel. The driver of the car that hit him, drunk on the road, thought it was a kangaroo. Adrenaline infusion had been running for over 6 weeks until 3 days prior to this recording. The recording shows his rate and BP response to 100 μg adrenaline IV bolus. The response is unusual. What could explain it?
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.