Not all T wave inversions are ischaemic
- 1Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India
- 2Department of Medicine, Baroda Medical College, Baroda, Gujarat, India
- 3Sri Jayadeva Institute of Cardiovascular Sciences, Bangalore, Karnataka, India
- Correspondence to Dr Ravindran R, rravi_dr{at}rediffmail.com
Description
A 52- year-old man was referred as a case of acute coronary syndrome (ACS) for he had chest pain, vomiting and deep T wave inversions on ECG. Physical examination was normal except for blood pressure of 190/100 mm Hg. ECG (figure 1) satisfied voltage criteria for left ventricular hypertrophy along with deep asymmetrical T wave inversions, a prominent U wave and a prolonged corrected QT interval (QTc 560 ms). Echocardiogram confirmed concentric left ventricular hypertrophy but …








