T-wave inversion in the precordial leads: сardiac and non-cardiac causes
https://doi.org/10.18087/cardio.2020.5.n668
Abstract
The T-wave inversion (TWI) is a common electrocardiographic finding. Causes for TWI are numerous and sometimes TWI may appear in life-threatening conditions. The aim of this review was to provide an up-to-date analysis of TWI, including i) definition and prevalence; ii) causes, and iii) differential diagnosis in benign TWI, reversible myocardial ischemia of the left ventricular anterior wall; takotsubo cardiomyopathy; subarachnoid hemorrhage; pulmonary embolism; right ventricular arrhythmogenic cardiomyopathy; and “cardiac memory”. The review presents practical electrophysiological criteria, which allow suspecting in time a life-threatening condition to choose an up-to-date treatment.
About the Authors
I. R. Tsoy
Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Moscow Russia
Russian Federation
cardiologist
Russian Federation
cardiologist
I. P. Kolos
Federal Medical Center of the Federal Agency for State Property Management, Moscow, Russia
Russian Federation
Head of the Department of Cardiology and Functional Diagnostics
Russian Federation
Head of the Department of Cardiology and Functional Diagnostics
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Review
For citations:
Tsoy I.R., Kolos I.P. T-wave inversion in the precordial leads: сardiac and non-cardiac causes. Kardiologiia. 2020;60(5):136–145. (In Russ.) https://doi.org/10.18087/cardio.2020.5.n668
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