137. A Pain-Free Adult with Persistent T Wave Abnormalities

  1. Christopher P. Holstege MD1,2,3,
  2. Alexander B. Baer MD1,4,
  3. Jesse M. Pines MD, MBA, MSCE5,6 and
  4. William J. Brady MD7,8,9

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch137

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Holstege, C. P., Baer, A. B., Pines, J. M. and Brady, W. J. (eds) (2011) A Pain-Free Adult with Persistent T Wave Abnormalities, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch137

Editor Information

  1. 1

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 2

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 5

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 6

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 7

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 8

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 9

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 27, a pain-free adult - with persistent T wave abnormalities;
  • diagnosis, Wellens' syndrome (left anterior descending coronary T wave syndrome);
  • ECG, biphasic T wave inversions - in anterior, inferior and lateral leads;
  • syndrome, group of patients - admitted with ACS, and short-term adverse outcome;
  • Wellens' T wave morphologies - and two basic types;
  • T wave abnormalities, patients with active chest pain - pain-free individuals, recent chest discomfort;
  • patients, with potential Wellens' syndrome - in hospital for coronary angiography;
  • exercise stress testing, and variants, not performed - risk of sudden syndrome progression, or sudden cardiac death;
  • biphasic T wave (upright and inverted components);
  • deeply inverted T wave

Summary

This chapter contains sections titled:

  • Further reading