Giant T Wave Inversion

Report:

Sinus rhythm

Giant T wave inversion

Comment:

The patient became brain dead soon after the tracing was obtained. The ECG is diagnostic of a cerebral event. The phenomenon of giant T wave inversion is discussed in her (and Case 190’s) case report217. This was the first one I had seen (in 1973), still a Medical Registrar in Sydney. I dipped into Schamroth218 and never looked back. Pathognomonic, he said, of a previous period of unconsciousness. There are very few pathognomonic patterns in electrocardiography.

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