Differential Diagnoses: T wave inversions and prolonged QTc interval

ECG Weekly Workout with Dr. Amal Mattu


A 53-year-old woman with PMHx of HTN and DM presents with atypical chest pain. She is noted to have a completely normal baseline ECG. The following ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is your differential?
  3. Would you continue with plan to send the patient to the cath lab?