Posttachycardia T-wave changes.
A 25-year-old previously healthy man presented to the emergency department with a tachydysrhythmia. After pharmacological intervention, the patient's rhythm converted to normal sinus and symmetrically inverted T-wave changes were noted. Although asymptomatic after conversion, the patient was admitted to the hospital and monitored for two days to rule out cardiac ischemia correlating with the T-wave changes. The patient was ultimately discharged in good health. A review of the emergency medical literature fails to reveal examples of post-tachycardic T-wave changes that may simulate myocardial ischemia but be of no clinical significance.
Department of Emergency Medicine, Lutheran General Hospital, Park Ridge, IL 60068.
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Propp
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Maloney
D000328:Adult; D003327:Coronary Disease / Q000175:diagnosis; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000150:complications; D004562:Electrocardiography; D006801:Humans; D008297:Male; D013617:Tachycardia, Supraventricular / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology*; D014700:Verapamil / Q000627:therapeutic use
D014700:Verapamil