Differential Diagnoses: the many causes of T wave inversions in the anteroseptal leads and how to differentiate them

ECG Weekly Workout with Dr. Amal Mattu


A 37-year-old woman presents with sharp musculoskeletal chest pain associated with cough. She reports symptoms of an upper respiratory tract infection over the past 2 days. The following ECG is obtained:

Before watching the video, look closely at this ECG and ask yourself:

  1. What ECG abnormalities do you notice?
  2. What is your differential for the T wave inversions seen in the anterior leads?
  3. How would you manage this patient?