UMMC Cases Part III: When T Waves Help Tell the Story

UMEM Potpourri ECG Cases with Dr. Amal Mattu

---

HPI

A 23-year-old woman presents with palpitations and lightheadedness after a spontaneous episode of regular wide complex tachycardia. Her post-conversion ECG shows anterior T wave inversions with a subtle abnormality hiding at the end of the QRS.

Before watching this week’s workout, review the ECG carefully and consider:

1. 1. What is your differential for the T wave inversions in V1 to V3?
   2. What ECG finding is most specific for your top differential?
   3. After terminating ventricular tachycardia in a young patient, what should you specifically look for on the post-conversion ECG?