Isolated T wave Inversion in Lead aVL as an early sign of Inferior Wall Myocardial Infarction

Authors

  • Getaw Worku Hassen a:1:{s:5:"en_US";s:54:"New York Medical College, Metropolitan Hospital Center";}
  • Greg McWhir
  • Soheila Talebi
  • Ryan Holzhauer
  • Sandra Levine
  • Jean-Paul Menoscal
  • Roger Chirurgi
  • Selome Fantahun
  • Hossein Kalantari

DOI:

https://doi.org/10.58904/2023/35

Keywords:

T wave inversion, Reciprocal Change, MI

Abstract

Electrocardiogram (ECG) is instrumental in identifying acute myocardial infarction (AMI). ST-segment elevation in a region of specific coronary vessels in an acute coronary syndrome (ACS) setting is the hallmark of AMI. Reciprocal ST depression and T wave inversion (TWI) are well-recognized changes that could accompany ST segment elevations. Reciprocal changes may represent the only early manifestation of AMI and may be present in specific leads such as lead aVL as early and sensitive markers of AMI. Abnormalities in the ST segment and T wave can result from non-ACS causes, but early recognition and appropriate intervention are paramount for patients with ACS. We report a case of a 55-year-old male with acute IWMI with early reciprocal and dynamic ECG changes with a literature review.

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Published

2023-02-09

How to Cite

Hassen, G. W., McWhir, G., Talebi, S., Holzhauer, R. ., Levine, S. ., Menoscal, J.-P. ., … Kalantari, H. . (2023). Isolated T wave Inversion in Lead aVL as an early sign of Inferior Wall Myocardial Infarction. Pan African Journal of Emergency Medicine and Critical Care, 1(1). https://doi.org/10.58904/2023/35

Issue

Vol. 1 No. 1 (2023): Pan African Journal of Emergency Medicine and Critical Care

Section

Case Report

License

Copyright (c) 2023 Getaw Worku Hassen

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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