Giant negative T-wave: always coronary artery disease?

Submitted: 3 May 2013
Accepted: 3 May 2013
Published: 3 May 2013
Abstract Views: 698
PDF: 8524
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CLINICAL CASE We describe a 82 years old patient with giant negative T waves in anterior and inferior leads at electrocardiogram (ECG) after pace-maker (PM) implantation because of total atrioventricular block, and we discuss about different cause of negative T waves at ECG.
CONCLUSIONS Particularly, we remark that, after a long period of PM stimulation, a negative T waves at ECG without myocardial ischemia, defined as electrical memory, may appear if a spontaneous sinus rhythm occurs. The same phenomena is present in patients affected by intermittent left bundle-branch block.

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Dall’Orto, F., Reverzani, A., Maselli, F., Gambarati, G., & Chesi, G. (2013). Giant negative T-wave: always coronary artery disease?. Italian Journal of Medicine, 1(1), 55–56. https://doi.org/10.4081/itjm.2007.1.55