Telltale T Waves

Published:October 24, 2018DOI:
      Although the patient's electrocardiogram (ECG) contained a well-known marker for severe stenosis of the left anterior descending artery, it was essential that the work-up address diagnostic possibilities beyond the most conspicuous. A 43-year-old African American man presented with a 1-month history of progressive dyspnea on exertion. He had an unremarkable medical history and an excellent baseline exercise capacity.
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        • De Zwaan C
        • Bär FW
        • Wellens HJ
        Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction.
        Am Heart J. 1982; 103: 730-736
        • Kosuge M
        • Kimura K
        • Ishikawa T
        • et al.
        Electrocardiographic differentiation between acute pulmonary embolism and acute coronary syndromes on the basis of negative T waves.
        Am J Cardiol. 2007; 99: 817-821
        • Ferrari E
        • Imbert A
        • Chevalier T
        • Mihoubi A
        • Morand P
        • Baudouy M
        The ECG in pulmonary embolism. Predictive value of negative T waves in precordial leads—80 case reports.
        Chest. 1997; 111: 537-543
        • Kosuge M
        • Kimura K
        • Ishikawa T
        • et al.
        Prognostic significance of inverted T waves in patients with acute pulmonary embolism.
        Circ J. 2006; 70: 750-755