Biphasic T-waves
Results:
T Wave Basics (ventricular repolarization)
Key Points Definition: T waves represent ventricular repolarization, the process by which the heart’s ventricles reset electrically after a heartbeat. Normal Characteristics: A normal T wave is upright in most…
Reverse Wellens Waves: not all biphasic T waves are indicative of ACS!
A 25-year-old woman presents to the emergency department with lightheadedness and palpitations for 1 week. Her symptoms worsened today with a near-syncopal episode. She is thin/frail and dehydrated in appearance….
Differential Diagnoses: a triad of long QT interval, PVCs, & ST segment depression
A 56-year-old woman presents to a busy ED dehydrated with acute gastroenteritis. She is placed in a hallway bed and treated with IV fluids and ondansetron. On reassessment the patient…
Literature Review: does GERD provoke myocardial ischemia in patients with coronary artery disease?
A 55-year-old man presents to the ED with intermittent chest pain. He describes transient burning sensation that comes on only after eating. His pain does not radiate, and is not…
Generalized weakness with biphasic T waves in the anterior leads
A young man presents to the ED with generalized weakness. The following ECG is obtained:
Differential Diagnoses: long QTc interval
HPI: 32-year-old female with PMHx of hyperthyroidism (on carbimazole) presents with jaundice and intermittent palpitations. She has mild RUQ abdominal pain, but is otherwise well. Vitals: HR~100, BP-130/70, RR-18, afebrile. Exam:…
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- No clear P waves DDx
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- normal
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- repolarization abnormalities
- Rescue PCI
- Resolved ST segment elevation
- Resources & Recommendations
- Respiratory variation
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- Revised Sgarbossa Criteria
- Rhythm
- Rhythm Interpretation
- right atrial enlargement
- Right axis
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- Right Axis Deviation DDx
- Right bundle branch block
- right heart strain
- Right sided leads
- Right Ventricular (RV) STEMI Criteria
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- rollercoaster T waves
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- RV MI
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- Wolff Parkinson White
- WPW
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- WPW syndrome and Pseudo-MI patterns
- WPW vs STEMI
- WPW with Antidromic SVT
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- WPW with Orthodromic SVT
- WPW with SVT
- Young patients
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