alexa Precordial T wave Inversions on Electrocardiogram
ISSN: 2329-9126

Journal of General Practice
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Case Report

Precordial T wave Inversions on Electrocardiogram

Supreeti Behuria1,4Justin A. Ratcliffe2,4Harry Fischer3,4Paul Schweitzer2,4
1Department of Medicine, Beth Israel Medical Center, USA
2Thomas Killip Division of Cardiology, Beth Israel Medical Center, USA
3Division of Rheumatology, Beth Israel Medical Center, USA
4Beth Israel Medical Center, USA
Corresponding Author : Supreeti Behuria
Beth Israel Medical Center
New York, USA
Tel: 773-677-3778
Received November 22, 2013; Accepted December 30, 2013; Published January 07, 2014
Citation: Behuria S, Ratcliffe JA, Fischer H, Schweitzer P (2014) Precordial T wave Inversions on Electrocardiogram. J Gen Pract 2:142. doi:10.4172/2329-9126.1000142
Copyright: © 2014 Behuria S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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T wave inversions on an electrocardiogram (EKG) can manifest from any process that result in a relative delay in regional ventricular repolarization. The differential diagnosis of right precordial T wave inversions, leads V1-V3, include myocardial ischemia, a normal athlete’s heart, arrhythmogenic right ventricular dysplasia, and pulmonary embolism amongst others. The case discussed below is of a 73 year old man who presented to a cardiologist with chest pain and shortness of breath. He had an initial ECG that showed a normal sinus rhythm with T wave inversions across the right precordial leads. He had an unrevealing coronary angiogram and an echocardiogram that only showed right-sided strain. Thereafter, he had a ventilation perfusion scan, which diagnosed pulmonary embolus. He was treated with anticoagulation and his symptoms resolved. The present case delineates the importance of recognizing this ECG pattern and, in the correct clinical setting, can facilitate in diagnosis and treatment of a relatively common medical condition.

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