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T Wave
Aka: T Wave- Findings: Normal
- Upright: I, II, V3, V4, V5, V6
- Inverted: aVR, V1
- Variable: all other leads
- Increased Amplitude: aVL and aVF (if QRS over 5 mm)
- Findings: T Wave Shape
- Smooth: Normal
- Notched: Pericarditis
- Pointed: Myocardial Infarction
- Findings: T Wave Height
- Normal
- Limb leads: <5 mm
- Precordial leads: < 10 mm
- Tall T Waves
- Normal
- Causes: T Wave Inversion in anterior leads (V1 to V4)
- Anterior Myocardial Ischemia
- Proximal Left Anterior Descending Occlusion (Wellens Syndrome)
- Posterior Myocardial Infarction
- Pulmonary Embolism with right heart strain
- Neurogenic T Waves
- Precedes ischemic cerebrovascular event
- Yamaguchi Syndrome
- Hypertrophic Cardiomyopathy involving the cardiac apex
- References
- Majoewsky (2012) EM:RAP 12(1): 12