Deeply inverted T waves are classically associated with intracerebral events. They are also known as ‘cerebral T waves’.
See also: T and U waves
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- Rowlands, A and Sargent, A (2019) - The ECG Workbook, 4th edn, M&K Publishing
- Thaler, MS (2018) - The Only EKG Book You'll Ever Need, 9th edn, Lippincott Williams and Wilkins
- Goldberger, A (2006) - Clinical Electrocardiography: A Simplified Approach, 9th edn, Elsevier
This ECG is from a man in his 60s who developed hypokalemia during a complicated hospital admission including GI bleed and anaemia.
This ECG shows inverted T waves and inverted U waves with a very prolonged QT. There is subtle ST elevation in inferior and lateral leads. Troponin was elevated, echo showed regional wall motion abnormalities apical and anteriorly. Angiogram showed severe multivessel disease and an apical LAD occlusion of uncertain age. The most likely cause was either a small infarction or takotsubo.