Why the study?
Precordial T-wave inversion is a common ECG finding with numerous causes that can sometimes indicate life-threatening conditions.
This review outlines practical ECG criteria to differentiate benign from life-threatening causes of precordial T-wave inversion, aiding in timely diagnosis and treatment.
May aid ECG differentiation of precordial T-wave inversion; leaves open prospective validation before clinical adoption.
The T-wave inversion (TWI) is a common electrocardiographic finding. Causes for TWI are numerous and sometimes TWI may appear in life-threatening conditions. The aim of this review was to provide an up-to-date analysis of TWI, including i) definition and prevalence; ii) causes, and iii) differential diagnosis in benign TWI, reversible myocardial ischemia of the left ventricular anterior wall; takotsubo cardiomyopathy; subarachnoid hemorrhage; pulmonary embolism; right ventricular arrhythmogenic cardiomyopathy; and "cardiac memory". The review presents practical electrophysiological criteria, which allow suspecting in time a life-threatening condition to choose an up-to-date treatment.
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Tsoy et al. (2020) studied this question.
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