V1-V2-V3-V4 T wave inversion

left or right ventricle?

Antonio Mirijello, Roberto Pola, Luisa Saviano, Raffaele Landolfi

Research output: Contribution to journalArticle

Abstract

An 84-year-old woman, affected by Alzheimer's disease, presented to the emergency department with intense dyspnoea. Since ECG was showing T wave inversion in anterior leads and troponin-T was high, the patient was admitted to our unit with a diagnosis of anterior non-ST elevation myocardial infarction. However, the patient's medical history and a further review of the ECG led us to suspect a pulmonary embolism (PE) as a possible differential clinical diagnosis. We tested this alternative hypothesis: echocardiography as well as contrast-enhanced CT scan confirmed the diagnosis of PE. We describe these misleading ECG findings together with a brief discussion of electrocardiographical changes in pulmonary embolism.

Original languageEnglish
JournalBMJ Case Reports
Volume2013
Publication statusPublished - 2013

Fingerprint

Pulmonary Embolism
Heart Ventricles
Electrocardiography
Troponin T
Dyspnea
Echocardiography
Hospital Emergency Service
Alzheimer Disease
Differential Diagnosis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Mirijello, A., Pola, R., Saviano, L., & Landolfi, R. (2013). V1-V2-V3-V4 T wave inversion: left or right ventricle? BMJ Case Reports, 2013.

V1-V2-V3-V4 T wave inversion : left or right ventricle? / Mirijello, Antonio; Pola, Roberto; Saviano, Luisa; Landolfi, Raffaele.

In: BMJ Case Reports, Vol. 2013, 2013.

Research output: Contribution to journalArticle

Mirijello, A, Pola, R, Saviano, L & Landolfi, R 2013, 'V1-V2-V3-V4 T wave inversion: left or right ventricle?', BMJ Case Reports, vol. 2013.
Mirijello, Antonio ; Pola, Roberto ; Saviano, Luisa ; Landolfi, Raffaele. / V1-V2-V3-V4 T wave inversion : left or right ventricle?. In: BMJ Case Reports. 2013 ; Vol. 2013.
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