Deeply inverted T waves

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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Featured Example

References

ECG Library (18)

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In the ECGquest archives, this ECG has been tagged with: - 12-Lead Deeply inverted T waves Inferior ST elevation Inverted T waves Inverted U waves Lateral ST elevation Dr Smith's ECG Blog CC BY-NC
Bizarre T-wave inversions, with Negative U-waves and Very long QT. And a myocardial viability study.

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.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead Deeply inverted T waves Short PR Takotsubo cardiomyopathy Dr Smith's ECG Blog CC BY-NC
A 60 year old patient with large T-wave inversions

This ECG is from a woman in her 60s who presented with intermittent chest pain and dyspnoea for the past day, on a background of stage IV lung cancer.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead Deeply inverted T waves Normal P waves Takotsubo cardiomyopathy Dr Smith's ECG Blog CC BY-NC
A 60 year old patient with large T-wave inversions

This ECG is from a woman in her 60s who presented with intermittent chest pain and dyspnoea for the past day, on a background of stage IV lung cancer. This was her repeat ECG the next day.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Serial 12-lead Deeply inverted T waves Takotsubo cardiomyopathy Dr Smith's ECG Blog CC BY-NC
Chest pain, sinus tachycardia, and ST Elevation: day after ECG