zaivi

toma tu dolor y transfórmalo en arte 🐈‍⬛

[Abdulhamid @abdulhamid_199]

لو اجتمعت الثلاث اشياء هذه

ايش بيكون التشخيص ؟

[CardiovascularCorner @TrackYourHeart]

Recognizing Deep T-Wave Inversions: Beyond Ischemia

Deep T-wave inversion is a concerning #ECG finding, but it is not pathognomonic for myocardial ischemia. Multiple conditions can present with this pattern, and understanding the context is key to appropriate diagnosis and management.

This chart presents three classical ECG patterns of deep T-wave inversions in leads V2–V4:

1️⃣ Ischemia (Top Row):
This is the most well-known cause. Acute or evolving MI, particularly involving the LAD, can cause symmetrical deep T-wave inversions. These are usually preceded by ST-segment changes and are associated with clinical signs of ischemia.

2️⃣ Cerebrovascular Accident (CVA) (Middle Row):
Deep T-wave inversions may also be neurogenic. In this example, the patient suffered a subarachnoid hemorrhage. The T-wave inversion is accompanied by marked QT interval prolongation, a characteristic feature of neurogenic T-wave changes. These are believed to result from autonomic dysregulation and excessive sympathetic discharge. Differentiating this from ischemia is critical, as misdiagnosis could lead to inappropriate therapy.

3️⃣ Apical Hypertrophic Cardiomyopathy (HCM) (Bottom Row):
Patients with apical HCM may show giant, symmetrical T-wave inversions, especially in the precordial leads. These are chronic and not associated with acute coronary syndromes. Often referred to as “giant negative T waves,” they reflect increased ventricular wall thickness and altered repolarization due to hypertrophy.

Clinical Implications:
⚪Misinterpreting non-ischemic deep T-wave inversions as ACS may lead to unnecessary invasive procedures or delay appropriate care.
🔵Always correlate ECG findings with clinical presentation, imaging (such as echocardiography or CT), and laboratory data.
🔴In CVA cases, ECG findings may be the first clue to underlying neurological pathology.

Other Differential Diagnoses to Consider:
- Takotsubo cardiomyopathy (stress-induced cardiomyopathy)
- Post-pacing or “cardiac memory” T-wave changes
- Pericarditis (though usually associated with diffuse ST elevation and PR depression)
- Electrolyte disturbances

Not all deep T-wave inversions are due to ischemia. Careful analysis of the ECG in clinical context is essential.
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Reference: Goldberger AL. Deep T wave inversions. ACC Curr J Rev. 1996;5:28–29

[Quirlo @Elduirland]

La TGR sacó toda la plata de mi sueldo de mi cta corriente por cobro del CAE. Dejó mi cuenta en 0 para todo lo que queda del mes.
#CAE #TGR

[Dr CHIRAG 🩺 @Chiragrx07]

1. What is this Sign?
2. In Which Condition,It will be seen?

[CardiovascularCorner @TrackYourHeart]

1. What is the name of the wave marked by the arrow in lead V1?
2. Which condition is it classically associated with?

[RADIOLOGISTS @DrAyubaD]

NEURO CASE 🔥🔥
45y old woman with headache and seizure .

MRI done.

What are your differential diagnosis?

What is the diagnosis?
#MedTwitter

[Doctor Med @DoctorMed0]

A teenager with bone pain

[Manual Of Medicine @ManualOMedicine]

@cardiotipss Brugada

https://t.co/pKzcNlNZmL

[C.Alberto Ortega @albertoortegana]

What is the diagnosis?

[ᴊᴜᴀɴғʀᴀ ʜᴏᴍs @juanfhoms]

Las mascotas son, honestamente, una de las mejores partes de estar vivo.

[Todo Dia Cães @tododiacaes]

"a memória do meu celular vive cheia não sei mais o que apagar"

A galeria:

[Dr CHIRAG 🩺 @Chiragrx07]

@hemo_shk Blue sclera
Osteogenesis Imperfecta.

[zaivi @danzeppina]

@visionpaischile lo único que prepara esta mina

[MEDICINE MADNESS @Doctors_GUILD]

Doctor… why should patients on isotretinoin NEVER donate blood during treatment?

What dangerous risk are we trying to avoid?

[zaivi @danzeppina]

lo único que hago al ver cirugías plásticas es gritar, pero me gustan

[🦠 Dr. Ahmed Alanazi @o_o_dr]

ECG is not about memorizing… it’s about recognizing patterns ⚡️🫀

The most important ECG findings you must recognize for exams and real life 👀

For daily SMLE recalls & updates: https://t.co/i84SGcflj7

[Anart🍂 @anaa_aart]

Como diría Juan Carlos Bodoque:

[CardiovascularCorner @TrackYourHeart]

At what diameter is the abdominal aorta considered aneurysmal?
A. > 2.0 cm
B. > 2.5 cm
C. > 3.0 cm
D. > 4.0 cm