Deep T inversion

Deep T inversion

First few conditions which come to our mind when we see deep T wave inversions are:

1. Coronary artery disease
2. Hypertrophic cardiomyopathy
3. Post cardiac arrest state
4. Takotsubo cardiomyopathy

Other conditions in which deep T wave inversion have been reported are:

1. Nonischemic cardiomyopathy [1]
2. After cardioversion [2]
3. Acute pulmonary embolism [3]
4. Acute pulmonary edema [4]

References

1. Ambhore A, Teo SG, Poh KK. Diabetes mellitus and heart disease. Singapore Med J. 2013 Jul;54(7):370-5; quiz 376.
2. Sovari AA, Farokhi F. When the heart remembers. Am J Emerg Med. 2007 Sep;25(7):831-3.
3. Punukollu G, Gowda RM, Khan IA, Wilbur SL, Vasavada BC, Sacchi TJ. QT interval prolongation with global T-wave inversion: a novel ECG finding in acute pulmonary embolism. Ann Noninvasive Electrocardiol. 2004 Jan;9(1):94-8.
4. Littmann L. Large T wave inversion and QT prolongation associated with pulmonary edema: a report of nine cases. J Am Coll Cardiol. 1999 Oct;34(4):1106-10.