scholarly journals Hypocalcemia-induced Camel-hump T-wave, Tee-Pee sign, and Bradycardia in a Car-painter of a Complexed Dilemma: A Case Report

CARDIAC ◽  
2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Yasser Mohammed Hassanain Elsayed
Keyword(s):  
Case Report ◽  
T Wave

An Ominous Anterior T Wave Changes: A Case Report on Wellens’ Syndrome

2017 ◽  
Vol 07 (06) ◽  
Author(s):  
Dayaratna J ◽  
Nisahan B ◽  
Guruparan M ◽  
Peranantharajah T
Keyword(s):  
Case Report ◽  
T Wave

scholarly journals Electrocardiogram Acquisition Errors or Myocardial Infarct

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Sari U. M. Vanninen ◽  
Kjell C. Nikus
Keyword(s):  
Case Report ◽  
Myocardial Infarct ◽  
Therapeutic Interventions ◽  
T Wave ◽  
Lead Placement ◽  
Electrocardiogram Ecg

Incorrect lead placement may result in unnecessary therapeutic interventions. We present a case report of 53-year-old man with new inferior T-wave inversions in the 12-lead electrocardiogram (ECG) noted during routine followup of hypertension without any cardiovascular symptoms.

scholarly journals Isolated T Wave Inversion in Lead aVL: An ECG Survey and a Case Report

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Getaw Worku Hassen ◽  
Ana Costea ◽  
Claire Carrazco ◽  
Tsion Frew ◽  
Anand Swaminathan ◽  
...  
Keyword(s):  
Case Report ◽  
Prospective Study ◽  
Morbidity And Mortality ◽  
Level Of Education ◽  
Ecg Analysis ◽  
T Wave ◽  
St Depression ◽  
Wave Inversion ◽  
Computer Interpretation ◽  
Electrocardiogram Ecg

Background.Computerized electrocardiogram (ECG) analysis has been of tremendous help for noncardiologists, but can we rely on it? The importance of ST depression and T wave inversions in lead aVL has not been emphasized and not well recognized across all specialties.Objective.This study’s goal was to analyze if there is a discrepancy of interpretation by physicians from different specialties and a computer-generated ECG reading in regard to a TWI in lead aVL.Methods.In this multidisciplinary prospective study, a single ECG with isolated TWI in lead aVL that was interpreted by the computer as normal was given to all participants to interpret in writing. The readings by all physicians were compared by level of education and by specialty to one another and to the computer interpretation.Results.A total of 191 physicians participated in the study. Of the 191 physicians 48 (25.1%) identified and 143 (74.9%) did not identify the isolated TWI in lead aVL.Conclusion.Our study demonstrated that 74.9% did not recognize the abnormality. New and subtle ECG findings should be emphasized in their training so as not to miss significant findings that could cause morbidity and mortality.

scholarly journals Pneumopericardium after Laparoscopic Hernia Repair Presents with ST-segment Changes: A Case Report

2021 ◽  
Vol 2 (5) ◽  
pp. 178-181
Author(s):  
Demi Galindo ◽  
Emily Martin ◽  
Douglas Franzen
Keyword(s):  
Pulmonary Embolism ◽  
Case Report ◽  
Chest Pain ◽  
Myocardial Ischemia ◽  
Hernia Repair ◽  
Laparoscopic Hernia Repair ◽  
T Wave ◽  
St Segment ◽  
Electrocardiogram Ecg ◽  
Unnecessary Intervention

Introduction: Although rare, iatrogenic cases of pneumopericardium have been documented following laparoscopic surgery and mechanical ventilation. Electrocardiogram (ECG) changes, including ST-segment depressions and T-wave inversions, have been documented in cases of pneumopericardium, and can mimic more concerning causes of chest pain including myocardial ischemia or pulmonary embolism. Case Report: This unique case describes a patient who presented with chest pain and ST-segment changes on ECG hours after a laparoscopic inguinal hernia repair and who was found to have pneumopericardium. Conclusion: While iatrogenic pneumopericardium is often self-limiting and rarely requires intervention, it is critical to differentiate pneumopericardium from other etiologies of chest pain, including myocardial ischemia and pulmonary embolism, to prevent unnecessary intervention.

DO NOT FORGET ABOUT THE T-WAVE: A CASE REPORT ON CARDIAC MEMORY

2019 ◽  
Vol 73 (9) ◽  
pp. 2448
Author(s):  
Thomas Flautt ◽  
Alison Spangler ◽  
John Prather ◽  
Frank McGrew
Keyword(s):  
Case Report ◽  
Cardiac Memory ◽  
T Wave

scholarly journals Wellens’ Syndrome, a case report of an electrocardiographic warning sign

2017 ◽  
Vol 5 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Yub Raj Sedhai ◽  
Aditya Singh Pawar ◽  
Priyanka T. Bhattacharya ◽  
Soney Basnyat
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Coronary Artery ◽  
Warning Sign ◽  
T Wave ◽  
Critical Stenosis ◽  
Free Interval ◽  
Drug Eluting ◽  
Electrocardiographic Changes ◽  
Wave Change

Introduction Wellens’ syndrome is described as a characteristic biphasic or symmetrical electrocardiographic T-wave inversions in precordial leads seen in a subset of patients with unstable angina. It is associated with critical stenosis of left anterior descending coronary artery. These patients have a high likelihood of progressing to acute myocardial infarction within a few days to weeks of onset of symptoms, thus it warrants an early invasive approach.Case Presentation: We present a 33-year-old otherwise healthy Indo-Jamaican male who presented with chest pain and characteristic electrocardiographic changes. Wellens’ syndrome was recognized. Emergent coronary angiography revealed 99% stenosis of proximal left anterior descending coronary artery. It was treated with a drug eluting stent.Conclusion: Electrocardiographic changes in Wellens’ syndrome are subtle and characteristically appear during chest pain free interval. It can be easily overlooked as non-specific ST, T wave change. Clinicians should be well aware of this subtle yet alarming electrocardiographic sign. This case report underlines the importance of recognizing the ominous electrocardiographic sign and its association with critical stenosis of the left anterior descending coronary artery.Journal of Advances in Internal Medicine 2016;05(01):19-23

scholarly journals The type 2 myocardial infarction following hypertension:a case report

2021 ◽  
Author(s):  
rui xu ◽  
yan zhang ◽  
Yanping Bi ◽  
yan wang
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Chest Pain ◽  
Myocardial Injury ◽  
Troponin I ◽  
T Wave ◽  
Wave Dynamic ◽  
St Segment

A 60-years-old patient with sustained chest pain was referred to hypertension.The tertiary Troponin-I concentrations,namely the biomarker of myocardial injury,were 0.19ng per milliliter,1.288ng per milliliterand 16.698ng per milliliter,respectively.Electrocardiogram showed ST-segment and T wave dynamic changes.Type 2 MI was confirmed.

scholarly journals The “Depression and Elevation” Of ST Segment Settle Down As Momentary “Up and Down “ Of Architect of Artefact : A Case Report Of COVID-19 Patient

2021 ◽  
pp. 1-3
Author(s):  
Anurodh Dadarwal ◽  
◽  
Sudeep Kumar ◽  
Keyword(s):  
Case Report ◽  
Past History ◽  
Young Male ◽  
T Wave ◽  
St Depression ◽  
Technical Errors ◽  
Cardiac Symptoms ◽  
St Segment ◽  
History Of ◽  
St Elevation

A young male was admitted with diagnosis of Covid-19 SARS infection and was having fever, cough & non-cardiac chest pain. There was no past history of cardiac symptoms and physical examination was unremarkable. His vitals were stable. His ECG showed ST elevation and Tall but notched T wave in V3 and ST depression in inferior and lateral leads. Carefully looking these manifestations, they seem the artifacts based on their ECG features and history of the patient. ECG was repeated removing all possible sources of technical errors for these ECG manifestations which showed normal ECG confirming the diagnosis of artifactual ECG. Patient was discharged uneventfully. Recognition of ECG artifact and their technical causes is necessary to avoid inappropriate management.

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