T-wave inversion

Weekly Workout August 7, 2022
ECG Basics and Fundamentals: T wave inversions and the importance of precordial lead placement

A 32-year-old female with a PMHx of obesity and tobacco use presents to the emergency department with 1 day of sharp midsternal chest pain. Pain is intermittent, non-radiating, and associated…

Weekly Workout May 8, 2022
STAT ECG Diagnoses: review of the causes of T wave inversions and detailed explanation of Wellens syndrome

A young African American male who appears to be in his mid-20s is brought into the ED for decreased level of consciousness. There is some concern by EMS for suspected…

Weekly Workout April 10, 2022
Differential Diagnoses: T wave inversions in a young woman with chest discomfort

A 25-year-old woman with PMHx of asthma is brought to the ED with shortness of breath and chest aching. Exam is notable for mild wheezing. The following ECG is obtained…

Weekly Workout June 2, 2019
Differential Diagnoses: the many causes of T wave inversions

 A 19-year-old female presents to the ED with atypical chest pain. She has no associated dyspnea and is noted to have normal vital signs. The following ECG is obtained:

Weekly Workout April 9, 2018
Differential Diagnoses: considerations in patients with right axis deviation (RAD) and T wave inversions

HPI: An 86-year-old male with PMHx of MI, HTN, HLD, COPD, and CVA presents with abrupt onset chest pain, dyspnea, and nausea. Pain started a few hours ago, is non-radiating,…

Weekly Workout November 19, 2017
STAT ECG Diagnoses: epsilon waves in patient with syncope

A teenage girl presents to the ED after brief syncope during sports activity. The following ECG is obtained:

Weekly Workout February 20, 2017
Differential Diagnoses: rollercoaster T waves

A 45-year-old woman presents to the ED with lethargy. BP = 100/50, HR = 60, RR= 12 & shallow. Her nurse thought her rhythm looked abnormal on the cardiac monitor…

Weekly Workout May 1, 2016
Literature Review: syncope evaluation in a young athlete, a review of normal vs abnormal ECG in athletes

A 22-year-old male college basketball player presents to the ED after a syncopal episode during a late morning practice. Witnesses state that he shook for a few seconds but did…

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