Diffuse Inverted T Waves in a Young Man with Structurally Normal Heart: A Case Report

Abstract

We discuss a young man with episodes of chest pain and dyspnea accompanied with transient T-wave inversion in precordial and inferior leads that repeated several times. Cardiovascular evaluation did not disclose any structural abnormality. Memory T wave following episodes of idiopathic left septal ventricular tachycardia was the reason of these changes and did not repeat after arrhythmia ablation.

The Role of Transmural Repolarization Gradient in the Inversion of Cardiac Electric Field: Model Study of ECG in Hypothermia

“…The inversion of T waves is a widespread phenomenon. It may present a normal variant or manifest a number of cardiac pathologies, including myocardial ischemia, acute pulmonary embolism, takotsubo cardiomyopathy, cardiac memory effect, altered sympathetic tone . Correct interpretation of this electrocardiographic phenomenon in various conditions requires knowing which ventricular repolarization gradients are modified and how these gradients express in the BSPD.…”