What question did this study set out to answer?

To investigate the significance of deeply inverted T waves in electrocardiograms of patients with coronary type chest pain.

October 1, 1957Circulation

Chest Pain with Inverted T Waves, Predominantly in Precordial Leads, as the Only Electrocardiographic Abnormality

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Population

69 hospitalized patients with 'coronary' type chest pain at rest lasting at least 15 minutes and ECG changes…

Design

Cohort

Follow-up

average 4 years

Authors

FCFrank B. CuttsProvidence College FMF MerlinoMerlin Circuit Technology (United Kingdom)FEFREDERIC W. EASTONEaston Hospital

Discussion

Member takes

Implication

Rest angina with T-wave inversion linked to severe CAD yet preserved work capacity at 4 years; leaves open contemporary relevance.

Key Points

To investigate the significance of deeply inverted T waves in electrocardiograms of patients with coronary type chest pain.
Selected 69 hospitalized patients with coronary type chest pain and inverted T waves in electrocardiograms.
Studied hospital course and electrocardiographic changes over an average follow-up period of 4 years.
Conducted postmortem studies on 11 patients to assess coronary artery condition.
Approximately half of the patients were still able to work after 4 years.
Postmortem findings revealed extensive sclerosis of coronary arteries in all examined patients.

Structured PICO

Population

69 hospitalized patients with 'coronary' type chest pain at rest lasting at least 15 minutes and ECG changes limited to deeply inverted T waves predominantly in precordial leads

Outcome

Hospital course, electrocardiographic changes, ability to work, and postmortem findings

Patients with rest chest pain and isolated deep precordial T-wave inversions demonstrate extensive coronary artery sclerosis but maintain a reasonable functional prognosis at 4 years.

Cite This Study

Cutts et al. (1957) studied this question.

synapsesocial.com/papers/6a20d960dc4e16663149cc74 https://doi.org/10.1161/01.cir.16.4.599

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Chest Pain with Inverted T Waves, Predominantly in Precordial Leads, as the Only Electrocardiographic Abnormality

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Chest Pain with Inverted T Waves, Predominantly in Precordial Leads, as the Only Electrocardiographic Abnormality

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider