Literature Review: can inverted U waves in the lateral leads predict heart disease?

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


A 58-year-old man presents with chest pressure and diaphoresis. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. Do you see any U-waves or terminal T-wave inversions?
  3. Is this ECG predictive of ischemia to any specific coronary artery distribution?