T wave inversions in leads with ST elevations in patients with acute anterior ST elevation myocardial infarction is associated with patency of the infarct related artery

Hira, Ravi S.; Moore, Curtiss; Huang, Henry; Wilson, James M.; Birnbaum, Yochai

doi:10.1016/j.jelectrocard.2014.04.024

Cited by 12 publications

(7 citation statements)

References 23 publications

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“…Our results support the applicability of T wave inversion in ECG as a marker of SR. Consistent with our findings, Hira et al suggested that negative T wave upon the presentation of ECG could be a sign of spontaneous thrombolysis in patients with anterior STEMI [11]. Nakajima et al demonstrated that the amplitude of negative T wave within 48 h of MI was inversely correlated with the extent of hypokinetic area of the heart; this predictive power was appreciated in both anterior and inferior STEMIs [14].…”

Section: Discussionsupporting

confidence: 90%

“…However, there was no relationship between T wave inversion and patency rate of nonanterior STEMI patients in our study. Similarly, this association in non-STEMI was not confirmed in the study by Hira et al [11]. The reported positive and negative predictive values by the study of Hira et al were similar to those emerging in our study.…”

Section: Discussionsupporting

confidence: 70%

“…Atar et al have described the ECG markers of reperfusion including resolution of ST-segment elevation, altered QRS appearance, T wave changes, and reperfusion arrhythmias [10]. A few studies have demonstrated that early T wave inversion can be regarded as a useful marker indicating spontaneous subendocardial reperfusion [8,11,12]. It was also associated with a higher patency rate of IRA and improvement in left ventricular function [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…A few studies have demonstrated that early T wave inversion can be regarded as a useful marker indicating spontaneous subendocardial reperfusion [8,11,12]. It was also associated with a higher patency rate of IRA and improvement in left ventricular function [11,12]. However, the associations between T wave inversion and angiographic findings have not yet been evaluated in large-scale studies.…”

Section: Introductionmentioning

confidence: 99%

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The association between T wave inversion in leads with ST-elevation and patency of the infarct-related artery

Ranjbar

Sohrabi

Sadat-Ebrahimi

et al. 2021

BMC Cardiovasc Disord

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Background Up to over half of the patients with ST-segment elevation myocardial infarction (STEMI) are reported to undergo spontaneous reperfusion without therapeutic interventions. Our objective was to evaluate the applicability of T wave inversion in electrocardiography (ECG) of patients with STEMI as an indicator of early spontaneous reperfusion. Methods In this prospective study, patients with STEMI admitted to a tertiary referral hospital were studied over a 3-year period. ECG was obtained at the time of admission and patients underwent a PPCI. The association between early T wave inversion and patency of the infarct-related artery was investigated in both anterior and non-anterior STEMI. Results Overall, 1025 patients were included in the study. Anterior STEMI was seen in 592 patients (57.7%) and non-anterior STEMI in 433 patients (42.2%). Among those with anterior STEMI, 62 patients (10.4%) had inverted T and 530 (89.6%) had positive T waves. In patients with anterior STEMI and inverted T waves, a significantly higher TIMI flow was detected (p value = 0.001); however, this relationship was not seen in non-anterior STEMI. Conclusion In on-admission ECG of patients with anterior STEMI, concomitant inverted T wave in leads with ST elevation could be a proper marker of spontaneous reperfusion of infarct related artery.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The association between T wave inversion in leads with ST-elevation and patency of the infarct-related artery

Ranjbar

Sohrabi

Sadat-Ebrahimi

et al. 2021

BMC Cardiovasc Disord

View full text Add to dashboard Cite

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“…However, inverted T waves in the presenting ECG have been associated both with patency (Hira, Moore, Huang, Wilson, & Birnbaum, 2014) and nonpatency (Wong et al, 1999) of the culprit artery.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the prognostic role of Q waves and inverted T waves in the presenting ECG of STEMI patients

Koivula

Nikus

Viikilä

et al. 2018

Noninvasive Electrocardiol

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Registry of “early latecomer” patients with acute ST-segment elevation myocardial infarction at the Instituto Nacional Cardiovascular INCOR – Peru

Chacón-Díaz¹,

Barrios-Escalante²,

Espinoza-Alva³

2016

Archivos de Cardiología de México

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T wave inversions in leads with ST elevations in patients with acute anterior ST elevation myocardial infarction is associated with patency of the infarct related artery

Cited by 12 publications

References 23 publications

The association between T wave inversion in leads with ST-elevation and patency of the infarct-related artery

The association between T wave inversion in leads with ST-elevation and patency of the infarct-related artery

Comparison of the prognostic role of Q waves and inverted T waves in the presenting ECG of STEMI patients

Registry of “early latecomer” patients with acute ST-segment elevation myocardial infarction at the Instituto Nacional Cardiovascular INCOR – Peru

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