Cerebral T Waves

Report:

Sinus tachycardia 120/min

Vertical heart position

Left ventricular hypertrophy with atypical ST/T changes

Prolonged QT interval

Comment:

It is not possible to determine with certainty whether the QT interval is prolonged or U waves are present. The repolarisation changes look especially bizarre in the inferior leads.

They were quite impressive on admission to Casualty two days previously, but less bizarre (132a). Perhaps these represented the initial response to hypoxic stress from hanging.

The patient had very severe brain damage and died a few days later. The heart was normal at (Coroner’s) autopsy.

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