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Inverted t wave

Ludovico Lazzari, Federica DI Meo, Alessandra Crocetti, Michele Castelli, Chiara Marini, Stefano Donzelli, Daniella Bovelli, Giovanni Carreras, Enrico Boschetti
No abstract text is available yet for this article.
February 2017: Minerva Cardioangiologica
Jonathan Gonzva, François-Valéry Viard, Daniel Jost, Hugues Lefort, Jean-Pierre Tourtier
We report the case of an 86-year-old man found at home with acute chest pain and dyspnea. He presented some episodes of left chest pain combined with dyspnea. The physical examination revealed crackling sounds on the bases of the lungs without other anomalies. Electrocardiograms revealed a transient and complete right bundle branch block with inverted T waves in leads V1, V2, and V3. He was diagnosed with a proximal bilateral acute pulmonary embolism without acute cor pulmonale. We describe a case of a transient bundle branch block, without tachycardia or acute cor pulmonale, revealing a pulmonary embolism...
October 21, 2016: Journal of Electrocardiology
Shahin Salehi, Farhad Moradi Shahpar, Gholamreza Norouzi, Farshad Ghazalian, Mehrshad Poursaid Esfehani, Amir Hosein Abedi Yekta
BACKGROUND: Athletes' health is an important issue and for promoting it, pre-participation examination (PPE) is widely performed by responsible bodies around the world. OBJECTIVES: This study was to determine prevalence of cardiovascular disorders among athletes participating in the Asian games and answering the question whether the electrocardiogram (ECG) is a necessary part of pre-participation examination (PPE) for prevention of sudden cardiac death. MATERIALS AND METHODS: All athletes participated at Asian games came to sports medicine federation for a PPE including a comprehensive questionnaire, physical examination and ECG...
June 2016: Asian Journal of Sports Medicine
Keith Suarez, Maria Blazo, Javier E Banchs
No abstract text is available yet for this article.
July 29, 2016: Journal of Cardiovascular Electrophysiology
Umair Hayat, Chris Lim, Sylvia Chen
CLINICAL INTRODUCTION: A 75-year-old patient with hypertension and severe aortic stenosis underwent elective coronary angiography that showed mild non-obstructive disease in the mid left anterior descending artery (LAD). A left ventriculogram, however, demonstrated segmental systolic dysfunction with dilated akinetic apex (figure 1A, see online supplementary video 1). There was no history of prior myocardial infarction and the patient had not experienced any chest pain recently. A 12-lead ECG showed widespread deep symmetrical inverted T-waves with the exception of leads I, aVL and V1 (see online supplementary figure S1)...
July 14, 2016: Heart: Official Journal of the British Cardiac Society
Stefan Peters
No abstract text is available yet for this article.
October 1, 2016: International Journal of Cardiology
Chieri Kimura, Hitomi Takihara, Shuichi Okada
A 70-year-old female underwent an emergency replacement of the ascending aorta for acute aortic dissection. We used surgical adhesive BioGlue and teflon felt strips to reinforce the dissected aortic wall. On the 5th post operative day, electrocardiogram showed ischemic inverted T wave and the serum creatine phosphokinase level elevated without any symptoms such as chest pain or low blood pressure. By coronary angiography, severe stenosis was detected of the left descending coronary artery, and percutaneous coronary intervention was performed...
July 2016: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Elena Biagini, Chiara Pazzi, Iacopo Olivotto, Beatrice Musumeci, Giuseppe Limongelli, Giuseppe Boriani, Giuseppe Pacileo, Vittoria Mastromarino, Maria Letizia Bacchi Reggiani, Massimiliano Lorenzini, Francesco Lai, Alessandra Berardini, Francesca Mingardi, Stefania Rosmini, Elvira Resciniti, Claudia Borghi, Camillo Autore, Franco Cecchi, Claudio Rapezzi
The objective of this study was to investigate the prognostic significance of 12-lead electrocardiogram (ECG) patterns in a large multicenter cohort of patients with hypertrophic cardiomyopathy; 1,004 consecutive patients with hypertrophic cardiomyopathy and a recorded standard ECG (64% men, mean age 50 ± 16 years) were evaluated at 4 Italian centers. The study end points were sudden cardiac death (SCD) or surrogates, including appropriate implanted cardiac defibrillator discharge and resuscitated cardiac arrest and major cardiovascular events (including SCD or surrogates and death due to heart failure, cardioembolic stroke, or heart transplantation)...
August 1, 2016: American Journal of Cardiology
D Luke Glancy, Koteswara R Pothineni
There is a sinus P wave in front of each QRS, and the rate is 122 beats/min. The QRS voltage is large and meets many criteria for left ventricular hypertrophy: RI > 13 mm (1.3 mV); RaVF > 19 mm; SaVR > 14 mm; SV1 > 24 mm; SV2 > 30 mm; RV6 > 26 mm; RV6 > RV5; SV1 + RV5 or RV6 > 35 mm; SV2 + RV5 or RV6 > 45 mm; RaVL + SV3 > 20 mm in a woman.1 In addition, there are two non-voltage criteria for LVH: QRS duration = 0.11 s and typical repolarization changes: J-point depression with a downsloping ST segment into an inverted T wave and a more rapid upslope back to the baseline...
July 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
D Luke Glancy Md, Koteswara R Pothineni Md
There is a sinus P wave in front of each QRS, and the rate is 122 beats/min. The QRS voltage is large and meets many criteria for left ventricular hypertrophy: RI > 13 mm (1.3 mV); RaVF > 19 mm; SaVR > 14 mm; SV1 > 24 mm; SV2 > 30 mm; RV6 > 26 mm; RV6 > RV5; SV1 + RV5 or RV6 > 35 mm; SV2 + RV5 or RV6 > 45 mm; RaVL + SV3 > 20 mm in a woman.1 In addition, there are two non-voltage criteria for LVH: QRS duration = 0.11 s and typical repolarization changes: J-point depression with a downsloping ST segment into an inverted T wave and a more rapid upslope back to the baseline...
July 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
Hideo Okamura, Christopher J McLeod, Christopher V DeSimone, Tracy L Webster, Crystal R Bonnichsen, Martha Grogan, Sabrina D Phillips, Heidi M Connolly, Naser M Ammash, Carole A Warnes, Paul A Friedman
BACKGROUND: The subcutaneous implantable cardioverter defibrillator (S-ICD) provides an attractive option for patients with congenital heart disease (CHD) in whom a transvenous defibrillator is contraindicated. Given the unusual cardiac anatomy and repolarization strain, the surface electrocardiogram (ECG) is frequently abnormal, potentially increasing the screen failure rate. METHODS AND RESULTS: We prospectively screened 100 adult CHD patients regardless of the presence of clinical indication for ICD utilizing a standard left sternal lead placement, as well as a right parasternal position...
May 25, 2016: Circulation Journal: Official Journal of the Japanese Circulation Society
Joydip Mukherjee, Pradip Kumar Das, Prabal Ranjan Ghosh, Dipak Banerjee, Tripti Sharma, Debananda Basak, Sagar Sanyal
AIM: The present study has been conducted to evaluate the variation in electrocardiogram (ECG) parameters among different trained breeds of dogs (viz. Labrador, German Shepherd, and Golden Retriever) used for security reasons. MATERIALS AND METHODS: The ECG was recorded by single channel ECG at a paper speed of 25 mm/s and calibration of 10 mm=1 mV. The recordings were taken from all the standard bipolar limb leads (Lead-I, II, and III) and unipolar augmented limb leads (Lead-aVR, aVL, and aVF)...
November 2015: Veterinary World
Ali Attila Aydin, Kemal Türker Ulutas, Cemile Aydin, Murtaza Kaya, Umut Akar, Tayfun Ture
INTRODUCTION: Wellens Syndrome (WS) is a condition characterized by typical changes in ECG, which are biphasic T-wave inversions (less common) or symmetric and deeply inverted T waves (including 75%) in lead V2-V3 chest derivations. WS is considered important because it has not only diagnostic value but also prognostic value. CASE REPORT: A 52-year-old male patient without cardiovascular disease or risk factors was admitted to the emergency department (ED) suffering with chest pain and syncope, just after having been involved in a discussion at work...
February 2016: Acta Informatica Medica: AIM
Sudheer R Gorla, Daphne T Hsu, Aparna Kulkarni
BACKGROUND: ST-T wave (STTW) abnormalities have been described in 20-40% of normal newborns. We sought to describe the associations of these Electrocardiogram (ECG) abnormalities to perinatal course and congenital heart disease (CHD). METHODS: A retrospective chart review was performed on all neonatal ECGs between January 2008 and March 2013 identified from electronic medical records. Electronic medical records were reviewed for perinatal course and maternal medical conditions...
February 17, 2016: Congenital Heart Disease
Naila Choudhary, Christine Tompkins, Bronislava Polonsky, Scott McNitt, Hugh Calkins, N A Mark Estes, Andrew D Krahn, Mark S Link, Frank I Marcus, Jeffrey A Towbin, Wojciech Zareba
BACKGROUND: Sex differences in clinical presentation and outcomes of hereditary arrhythmias are commonly reported. We aimed to compare clinical presentation and outcomes in men and women with arrhythmogenic right ventricular cardiomyopathy (ARVC) enrolled in the North American ARVC Registry. METHODS: A total of 125 ARVC probands (55 females, mean age 38 ± 12; 70 males, mean age 41 ± 15) diagnosed, as either "affected" or "borderline" were included. Baseline clinical characteristics and time-dependent outcomes including syncope, ventricular tachycardia (VT), fast VT (>240 bpm), ventricular fibrillation (VF), and death were compared between males and females...
May 2016: Journal of Cardiovascular Electrophysiology
E Pariente-Rodrigo, R Aguado-Antón, B Gutiérrez-Escalada, L Berlanga-Navarro, G A Sgaramella
No abstract text is available yet for this article.
September 2016: Semergen
Hong Shao, Yanmin Zhang, Liwen Liu, Zhiling Ma, Lei Zuo, Chuang Ye, Xiaomei Wei, Chao Sun, Ling Tao
OBJECTIVE: To explore the relationship between electrocardiographic (ECG) and genetic mutations of patients with hypertrophic cardiomyopathy (HCM), and early ECG changes in HCM patients. METHODS: Clinical, 12-lead ECG and echocardiographic examination as well as genetic examinations were made in a three-generation Chinses HCM pedigree with 8 family members (4 males). The clinical characterization and ECG parameters were analyzed and their relationship with genotypes in the family was explored...
January 2016: Zhonghua Xin Xue Guan Bing za Zhi
Feng Guan, Hongguang Zhao, Benzheng Jiao, Shanshan Liu, Ri Sa, Sen Hou, Qiuyu Lin, Qi Wang, Chenghe Lin
OBJECTIVES: The common form and risk factors of electrocardiogram (ECG) abnormality in thyroidectomized differentiated thyroid carcinoma (DTC) patients with short-term overt hypothyroidism were investigated and some discriminant formulas for forecasting the occurrence of abnormal ECG in this specific population were deduced in this study. METHODS: A total of 260 thyroidectomized DTC patients were retrospectively reviewed, 67 of whom had abnormal ECG and 193 normal ECG after short-term (3 weeks) levothyroxine (L-T4) withdrawal...
February 2016: Annals of Nuclear Medicine
Yusuke Nomura, Shiro Sakai, Massimo Capone, Ryotaro Arita
Alkali-doped fullerides A 3C60 (A = K, Rb, Cs) are surprising materials where conventional phonon-mediated superconductivity and unconventional Mott physics meet, leading to a remarkable phase diagram as a function of volume per C60 molecule. We address these materials with a state-of-the-art calculation, where we construct a realistic low-energy model from first principles without using a priori information other than the crystal structure and solve it with an accurate many-body theory. Remarkably, our scheme comprehensively reproduces the experimental phase diagram including the low-spin Mott-insulating phase next to the superconducting phase...
August 2015: Science Advances
Jacob D Shopp, Lauren K Stewart, Thomas W Emmett, Jeffrey A Kline
OBJECTIVES: Treatment guidelines for acute pulmonary embolism (PE) recommend risk stratifying patients to assess PE severity, as those at higher risk should be considered for therapy in addition to standard anticoagulation to prevent right ventricular (RV) failure, which can cause hemodynamic collapse. The hypothesis was that 12-lead electrocardiography (ECG) can aid in this determination. The objective of this study was to measure the prognostic value of specific ECG findings (the Daniel score, which includes heart rate > 100 beats/min, presence of the S1Q3T3 pattern, incomplete and complete right bundle branch block [RBBB], and T-wave inversion in leads V1-V4, plus ST elevation in lead aVR and atrial fibrillation suggestive of RV strain from acute pulmonary hypertension), in patients with acute PE...
October 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
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