Long QT after Cerebral Trauma

Report:

Sinus tachycardia 103/min

Small frontal plane voltage

Diffuse T wave inversion

Prolonged QT interval

Comment:

Some of the repolarisation changes can be due to U waves merged with T waves; while it cannot be excluded, it does not matter. The potassium was 3.5 mEq/L, not a level to produce large U waves. Even so, cerebral events can cause them too.

The next day (Fig 54a) the QT is still long and the T wave can easily

be separated from the U wave in V2-V3.

These tracings can only be interpreted as due to cerebral trauma with the knowledge of the patient’s history.

54a. 55. 53 year old lady in Cardiology Outpatients. She had several myocardial infarctions in the past

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