Inverted T waves differentials

Inverted T waves differentialsCreated OnApril 21, 2020Last Updated OnApril 24, 2020byadmin You are here: Main ECG Inverted T waves differentials < All Topics Table of Contents Inverted T wave differentials Myocardial ischemia and infarction Bundle branch block Ventricular hypertrophy (‘strain’ patterns) Pulmonary cause, e.g Pulmonary embolism Hypertrophic cardiomyopathy Raised intracranial pressure Pericarditis, myocarditis Wide QRS complexes High left ventricular voltage, LVH with strain patter Hyperkalaemia, hypokalaemia Juvenile T-wave pattern Mitral valve prolapse Normal finding in V1, aVR, and lead III Differential diagnosis for T-wave inversions specifically in leads V1-V3 Septal and/or anterior ischemia Pulmonary causes (PE, pneumothorax, pulmonary HTN, pneumonia, hyperventilation, etc.) Arrhythmogenic right ventricular dysplasia/cardiomyopathy (V1-V3) Brugada syndrome (V1-V2) Juvenile T-wave pattern Normal finding if isolated to V1 Clinical Tips: New T-wave inversion in aVL may be an early reciprocal change Reciprocal changes can precede ST-elevation (STE) in MI New T wave inversion in aVL can be the first sign of an inferior STEMI Also watch out for hyperdynamic t-waves and down sloping ST-segments which suggest other early reciprocal changes Compare with old ECGs and correlate with the clinical presentation When in doubt, get serial ECGs *We do not own this youtube video or ECG, it’s for knowledge sharing purpose

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