T wave changes - Revision history

Rossdonaldson1: /* Evaluation */

2023-09-13T16:06:19Z

Evaluation

← Older revision		Revision as of 16:06, 13 September 2023
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	**In presence of baseline TWI (within 1 month), reocclusion causes normalization of TWI		**In presence of baseline TWI (within 1 month), reocclusion causes normalization of TWI
	**Should be interpreted as evidence of ischemia		**Should be interpreted as evidence of ischemia
	*T wave alternans- Beat-to-beat variability in the amplitude OR shape of T waves		*T wave alternans
	**Highly suggestive of impending or recent ~~Torsades~~		**Beat-to-beat variability in the amplitude OR shape of T waves
			**Highly suggestive of impending or recent [[torsades]]

	===New Tall T-wave in V1<ref>Wagner GS and Strauss DG. Marriott's Practical Electrocardiography. LWW; Twelfth edition (December 18, 2013).</ref>===		===New Tall T-wave in V1<ref>Wagner GS and Strauss DG. Marriott's Practical Electrocardiography. LWW; Twelfth edition (December 18, 2013).</ref>===
	*Loss of precordial T-wave balance when upright TW in V1 > upright TW in V6		*Loss of precordial T-wave balance when upright TW in V1 > upright TW in V6

2023-08-14T19:43:00Z

Evaluation

← Older revision		Revision as of 19:43, 14 August 2023
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	**In presence of baseline TWI (within 1 month), reocclusion causes normalization of TWI		**In presence of baseline TWI (within 1 month), reocclusion causes normalization of TWI
	**Should be interpreted as evidence of ischemia		**Should be interpreted as evidence of ischemia
			*T wave alternans- Beat-to-beat variability in the amplitude OR shape of T waves
			**Highly suggestive of impending or recent Torsades
	===New Tall T-wave in V1<ref>Wagner GS and Strauss DG. Marriott's Practical Electrocardiography. LWW; Twelfth edition (December 18, 2013).</ref>===		===New Tall T-wave in V1<ref>Wagner GS and Strauss DG. Marriott's Practical Electrocardiography. LWW; Twelfth edition (December 18, 2013).</ref>===
	*Loss of precordial T-wave balance when upright TW in V1 > upright TW in V6		*Loss of precordial T-wave balance when upright TW in V1 > upright TW in V6

2020-04-20T19:20:56Z

Evaluation

← Older revision		Revision as of 19:20, 20 April 2020
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	[[File:E0003192.png\|thumb\|\|Normal negative T waves in III, AVR and V1 (upright T wave in III is more common).]]		[[File:E0003192.png\|thumb\|\|Normal negative T waves in III, AVR and V1 (upright T wave in III is more common).]]
	*Normally upright in 1, 2, V3-V6		*Normally upright in 1, 2, V3-V6
	**Normally inverted in AVR		**Normally inverted in AVR and V1
	**Sometimes inverted in III, aVF, aVL, V1		**Sometimes inverted in III, aVF, aVL, V1
			**New upright T wave in V1 or T wave taller in V1 than in V6 is pathologic
	**Inversions in V2-V6 are usually pathologic		**Inversions in V2-V6 are usually pathologic
	***Exception is persistent juvenile T-wave pattern, usually limited to V1-V3, classically young Afro-Caribbean women		***Exception is persistent juvenile T-wave pattern, usually limited to V1-V3, classically young Afro-Caribbean women

2019-02-28T00:36:10Z

Evaluation

← Older revision		Revision as of 00:36, 28 February 2019
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	[[File:E0003192.png\|thumb\|\|Normal negative T waves in III, AVR and V1 (upright T wave in III is more common).]]		[[File:E0003192.png\|thumb\|\|Normal negative T waves in III, AVR and V1 (upright T wave in III is more common).]]
	*Normally upright in 1, 2, V3-V6		*Normally upright in 1, 2, V3-V6
	*~~Negative~~ in AVR		**Normally inverted in AVR
	*If is greater than 2/3 height of R wave then is abnormal		**Sometimes inverted in III, aVF, aVL, V1
	*Distribution		**Inversions in V2-V6 are usually pathologic
	**~~T wave is normally inverted in aVR; sometimes~~ inverted in III, aVF, aVL, V1		***Exception is persistent juvenile T-wave pattern, usually limited to V1-V3, classically young Afro-Caribbean women
	*~~T-wave inversions~~ in V2-V6 are usually pathologic		*Greater than 2/3 height of R wave is abnormal
	**~~With the exception of~~ persistent juvenile T-wave pattern, usually limited to V1-V3, classically young Afro-Caribbean women
	*Morphology		*Morphology
	**Inverted, symmetric,		**Inverted, symmetric,

2017-09-12T05:05:01Z

Text replacement - "==Sources==" to "==References=="

← Older revision		Revision as of 05:05, 12 September 2017
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	*[https://www.youtube.com/watch?v=adsnFeLGF8o Mattu ECG Case: Aug 27, 2012]		*[https://www.youtube.com/watch?v=adsnFeLGF8o Mattu ECG Case: Aug 27, 2012]

	==~~Sources~~==		==References==
	<references/>		<references/>

	[[Category:Cardiology]]		[[Category:Cardiology]]

2016-12-04T14:42:27Z

Text replacement - "troponin " to "troponin "

← Older revision		Revision as of 14:42, 4 December 2016
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	**Inverted, symmetric,		**Inverted, symmetric,
	**Transient changes suggests ischemia without infarction		**Transient changes suggests ischemia without infarction
	**Persistent changes suggests infarction (troponin elevation usually seen)		**Persistent changes suggests infarction ([[troponin]] elevation usually seen)
	*Pseudonormalization		*Pseudonormalization
	**In presence of baseline TWI (within 1 month), reocclusion causes normalization of TWI		**In presence of baseline TWI (within 1 month), reocclusion causes normalization of TWI

2016-08-29T12:15:55Z

Text replacement - "EKG" to "ECG"

← Older revision		Revision as of 12:15, 29 August 2016
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	*Loss of precordial T-wave balance when upright TW in V1 > upright TW in V6		*Loss of precordial T-wave balance when upright TW in V1 > upright TW in V6
	*A form of hyperacute T-wave		*A form of hyperacute T-wave
	*New Tall T-Wave in V1 (NTTV1) = upright T-wave in V1, especially with proven change from previous ~~EKG~~		*New Tall T-Wave in V1 (NTTV1) = upright T-wave in V1, especially with proven change from previous ECG
	**Concerning for ischemia, especially with ACS symptomology		**Concerning for ischemia, especially with ACS symptomology
	**Perform repeat ~~EKGs~~		**Perform repeat ECGs
	*Normal variants		*Normal variants
	**Misplaced leads		**Misplaced leads

2016-08-06T03:27:12Z

← Older revision		Revision as of 03:27, 6 August 2016
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	**Concerning for ischemia, especially with ACS symptomology		**Concerning for ischemia, especially with ACS symptomology
	**Perform repeat EKGs		**Perform repeat EKGs
			*Normal variants
			**Misplaced leads
			**[[LBBB]]
			**[[LVH]]
			**High left ventricular voltage

	==Differential Diagnosis==		==Differential Diagnosis==

2016-08-06T03:21:05Z

← Older revision		Revision as of 03:21, 6 August 2016
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	==See Also==		==See Also==
	*[[ECG Basics]]		*[[ECG Basics]]
			*[https://www.youtube.com/watch?v=adsnFeLGF8o Mattu ECG Case: Aug 27, 2012]

	==Sources==		==Sources==
	<references/>		<references/>

	[[Category:Cardiology]]		[[Category:Cardiology]]

2016-08-06T02:58:19Z