Differential Diagnoses: the many causes of T wave inversions

ECG Weekly Workout with Dr. Amal Mattu


 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:

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

  1. What is your ECG interpretation?
  2. What is your differential for the T-wave inversions seen in the anteroseptal leads?
  3. What is the most likely cause of this patient’s ECG abnormalities?