Anterior T Wave Inversions: Benign Variant or Hidden Danger?

ECG Weekly Workout with Dr. Amal Mattu


HPI

A 31-year-old woman presents with chest discomfort that is worse with twisting and lifting. She denies any associated vomiting or worsening pain with exertion. The following ECG is obtained on arrival:

Before watching this week’s workout, closely examine the ECG and ask yourself:

    1. What is your differential for T wave inversions specifically in V1-V3?
    2. What is the most likely cause?
    3. How would you manage this patient?