title: The prominent T wave: electrocardiographic differential diagnosis.
abstract: The prominent T wave is an abnormal T-wave morphology encountered in the earliest phase of ST-segment elevation acute myocardial infarction (AMI). Prominent T waves, however, are associated with other diagnoses, including hyperkalemia, early repolarization, and left ventricular hypertrophy (LVH). This article focuses on the electrocardiographic differential diagnosis of the prominent T wave with the presentation of 4 illustrative cases. We also recommend that the designation hyperacute should refer exclusively to the prominent T waves of ST-segment elevation AMI.
authors: Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
authors: Michael P
authors: MP
authors: Somers
authors: William J
authors: WJ
authors: Brady
authors: Andrew D
authors: AD
authors: Perron
authors: Amal
authors: A
authors: Mattu
mesh_terms: D000328:Adult; D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000209:etiology*; D019970:Cocaine-Related Disorders / Q000150:complications; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D006947:Hyperkalemia / Q000175:diagnosis / Q000209:etiology; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis; D011226:Pre-Excitation Syndromes / Q000175:diagnosis / Q000209:etiology