Sudden improvement in ventricular repolarization abnormality after a short detraining period in an athlete

AbstractWe describe the case of a 17-year-old male soccer player with T-wave inversion in precordial leads in resting electrocardiography, which also disclosed sinus bradycardia, early repolarization, and increased QRS voltage. These findings strongly suggested cardiomyopathy. The patient’s T-wave inversion disappeared during only 2 weeks of detraining, and it re-appeared 2 weeks after resumption of intensive training. This sudden change in electrocardiographic parameters over a short period helped in identifying the adolescent as having athlete’s heart.

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Afebrile scrub typhus infection with cardiac manifestation

BMJ Case Reports ◽

10.1136/bcr-2020-240223 ◽

2021 ◽

Vol 14 (4) ◽

pp. e240223

Author(s):

Robin George Manappallil ◽

Jayasree Nambiar ◽

Revathy Anil

Keyword(s):

Scrub Typhus ◽

Sinus Bradycardia ◽

Qt Prolongation ◽

Orientia Tsutsugamushi ◽

Febrile Disease ◽

T Wave ◽

Wave Inversion ◽

St Elevation ◽

Cardiac Manifestation ◽

Ecg Abnormalities

Scrub typhus is an acute febrile disease transmitted via bites from mite larvae (chigger) infected with Orientia tsutsugamushi. Arrhythmias, ischaemic changes and QT prolongation are some of the observed ECG abnormalities. The patient being reported presented with angina and was found to have sinus bradycardia with ST elevation in inferior leads and T wave inversion in lateral leads. His coronary angiography was normal. Further evaluation leads to the diagnosis of scrub typhus infection. Following doxycycline therapy, his ECG became normal. Afebrile scrub typhus infection with cardiac manifestation is an uncommon scenario.

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Apical hypertrophic cardiomyopathy with subendocardial late gadolinium enhancement in an adolescent

Cardiology in the Young ◽

10.1017/s1047951120004692 ◽

2020 ◽

pp. 1-3

Author(s):

Simona Boroni Grazioli ◽

Marc-Philip Hitz ◽

Inga Voges

Keyword(s):

Late Gadolinium Enhancement ◽

Hypertrophic Cardiomyopathy ◽

Resonance Imaging ◽

Gadolinium Enhancement ◽

Apical Hypertrophic Cardiomyopathy ◽

T Wave ◽

Wave Inversion ◽

Cardiology Department ◽

History Of ◽

Rare Diagnosis

Abstract A 17-year-old boy with a history of dyspnea attacks and chest pain was referred to our paediatric cardiology department. Electrocardiogram at presentation showed T-wave inversion in the inferior leads. Cardiovascular magnetic resonance imaging revealed the rare diagnosis of apical hypertrophic cardiomyopathy with subendocardial late gadolinium enhancement, missed by echocardiography.

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PHRENIC NERVE PARALYSIS AS A CAUSE OF DIFFUSE T WAVE INVERSION

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(21)03409-4 ◽

2021 ◽

Vol 77 (18) ◽

pp. 2053

Author(s):

Lei Xu ◽

James Barrett ◽

Pedram Kazemian

Keyword(s):

Phrenic Nerve ◽

Nerve Paralysis ◽

Phrenic Nerve Paralysis ◽

T Wave ◽

Wave Inversion

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COVID-19 cardiac injury and the use of colchicine

BMJ Case Reports ◽

10.1136/bcr-2020-241047 ◽

2021 ◽

Vol 14 (2) ◽

pp. e241047

Author(s):

Vanesa Anton-Vazquez ◽

Laura Byrne ◽

Lisa Anderson ◽

Lisa Hamzah

Keyword(s):

Sinus Tachycardia ◽

Inflammatory Responses ◽

Troponin T ◽

Systolic Function ◽

Cardiac Injury ◽

T Wave ◽

Wave Inversion ◽

Ventricular Extrasystoles

We report a case of cardiac injury in a 46-year-old man affected by COVID-19. The patient presented with shortness of breath and fever. ECG revealed sinus tachycardia with ventricular extrasystoles and T-wave inversion in anterior leads. Troponin T and N-terminal pro B-type natriuretic peptide were elevated. Transthoracic echocardiography showed severely reduced systolic function with an estimated left ventricle ejection fraction of 30%. A nasopharingeal swab was positive for SARS-CoV-2. On day 6, 11 days after onset of symptoms, the patient deteriorated clinically with new chest pain and type 1 respiratory failure. Treatment with colchicine 0.5 mg 8-hourly resulted in rapid clinical resolution. This case report highlights how cardiac injury can dominate the clinical picture in COVID-19 infection. The role of colchicine therapy should be further studied to determine its usefulness in reducing myocardial and possibly lung parenchymal inflammatory responses.

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T Wave Inversion Detected By Preparticipation Screening - Kickboxing

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000496175.29251.77 ◽

2014 ◽

Vol 46 ◽

pp. 890-891

Author(s):

Hiroyuki Ishida ◽

Norimitsu Kinoshita ◽

Tatsuo Sakai ◽

Fuminori Katsukawa

Keyword(s):

Preparticipation Screening ◽

T Wave ◽

Wave Inversion

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The mortal cause of sudden ECG changes in patients with chronic aortic insufficiency: Aortic dissection

Interventional Medicine and Applied Science ◽

10.1556/1646.10.2018.50 ◽

2019 ◽

Vol 11 (1) ◽

pp. 68-70

Author(s):

Mahmut Yesin ◽

Turgut Karabağ ◽

Macit Kalçık ◽

Süleyman Karakoyun ◽

Metin Çağdaş ◽

...

Keyword(s):

Risk Factors ◽

Aortic Dissection ◽

Signs And Symptoms ◽

Aortic Insufficiency ◽

Ecg Changes ◽

St Segment Elevation ◽

T Wave ◽

Wave Inversion ◽

St Segment ◽

High Index Of Suspicion

The symptoms of aortic dissection (AD) may be highly variable and may mimic other much common conditions. Thus, a high index of suspicion should be maintaned, especially when the risk factors for AD are present or signs and symptoms suggest this possibility. However, sometimes AD may be asymptomatic or progression may be subclinical. Various electrocardiographical (ECG) changes may be seen in AD patients such as ST segment elevation in aVR as well as ST segment depression and T-wave inversion. In this case report, we reported a patient with acute AD whose ECG revealed ST segment elevation in aVR lead in addition to diffuse ST segment depression in other leads.

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