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Ischemia

Deep, Symmetrical T Wave Inversions

Tue, 12/15/2015 - 21:20 -- Dawn

This ECG is from a 50-year-old man with chest pain.  Unfortunately, we don’t have any other clinical information.   This tracing is a good example of widespread, symmetrical inverted T waves.  Inverted T waves are present in Leads I, aVL, II, and V3 through V6. (The anterior-lateral leads).  There are ST segment elevations in Leads V1 and V2.  

Inverted T waves in Lateral Wall

Tue, 11/10/2015 - 20:45 -- Dawn

This ECG was obtained from a 49-year-old man who was a patient in an Emergency Dept.  We do not know his presenting complaint, only that he had a history of insulin-dependent diabetes mellitus (IDDM).  It was noted by the donor of the ECG that the patient had no chest pain, no shortness of breath, and no other cardiac symptoms.  We do not know his hydration or electrolyte status.  There are quite a few interesting abnormalities on this ECG, and the exact interpretation would, of course, depend upon the patient's clinical status.

Lateral Ischemia and Previous MI In a Patient With Chest Pain

Mon, 01/09/2012 - 22:48 -- Dawn

During our summer break, we are reprising a few of the best ECGs from our archives, to give you a chance to comment or to ask questions.

This ECG was taken from a 52 year old man who was complaining of chest pain, with a history of severe multi-vessel disease. He has a history of M.I. and states he has five coronary stents.

Coronary Artery Disease

Mon, 10/31/2011 - 13:11 -- Dawn

This ECG was taken from a 49 year old man with insulin-dependent diabetes, with no complaints of cardiac symptoms.  The rest of this patient's history is lost.   This is a great ECG for demonstrating the flat ST segments and T wave inversion of ischemia due to coronary artery disease. The ECG changes are very noticeable in the lateral wall.  It is not known why the patient presented with sinus tachycardia.

 

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