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T-wave inversion

MedGen UID:
105467
Concept ID:
C0520888
Finding
Synonyms: EKG: T-wave inversion; Inverted T wave; T Wave Inversion; T Wave Inversion by ECG Finding; T Wave Inversion by EKG Finding; T wave inversion in EKG
SNOMED CT: T wave inversion in EKG (59931005); Inverted T wave (59931005)
 
HPO: HP:0010872

Definition

An inversion of the T-wave (which is normally positive). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVT-wave inversion

Conditions with this feature

Naxos disease
MedGen UID:
321991
Concept ID:
C1832600
Disease or Syndrome
Naxos disease (NXD) is characterized by arrhythmogenic right ventricular cardiomyopathy associated with abnormalities of the skin, hair, and nails. The ectodermal features are evident from birth or early childhood, whereas the cardiac symptoms develop in young adulthood or later. Clinical variability of ectodermal features has been observed, with hair anomalies ranging from woolly hair to alopecia, and skin abnormalities ranging from mild focal palmoplantar keratoderma to generalized skin fragility or even lethal neonatal epidermolysis bullosa (Protonotarios et al., 1986; Cabral et al., 2010; Pigors et al., 2011; Erken et al., 2011; Sen-Chowdhry and McKenna, 2014). Another syndrome involving cardiomyopathy, woolly hair, and keratoderma (DCWHK; 605676) is caused by mutation in the desmoplakin gene (DSP; 125647). Also see 610476 for a similar disorder caused by homozygous mutation in the DSC2 gene (125645).
Hypertrophic cardiomyopathy 10
MedGen UID:
331754
Concept ID:
C1834460
Disease or Syndrome
Any hypertrophic cardiomyopathy in which the cause of the disease is a mutation in the MYL2 gene.
Hypertrophic cardiomyopathy 8
MedGen UID:
324806
Concept ID:
C1837471
Disease or Syndrome
Any hypertrophic cardiomyopathy in which the cause of the disease is a mutation in the MYL3 gene.
Lethal congenital glycogen storage disease of heart
MedGen UID:
337919
Concept ID:
C1849813
Disease or Syndrome
A rare glycogen storage disease with fetal or neonatal onset of severe cardiomyopathy with non-lysosomal glycogen accumulation and fatal outcome in infancy. Patients present with massive cardiomegaly, severe cardiac and respiratory complications and failure to thrive. Non-specific facial dysmorphism, bilateral cataracts, macroglossia, hydrocephalus, enlarged kidneys and skeletal muscle involvement have been reported in some cases.
Arrhythmogenic right ventricular dysplasia 12
MedGen UID:
409749
Concept ID:
C1969081
Disease or Syndrome
Arrhythmogenic right ventricular cardiomyopathy (ARVC) – previously referred to as arrhythmogenic right ventricular dysplasia (ARVD) – is characterized by progressive fibrofatty replacement of the myocardium that predisposes to ventricular tachycardia and sudden death in young individuals and athletes. It primarily affects the right ventricle, and it may also involve the left ventricle. The presentation of disease is highly variable even within families, and some affected individuals may not meet established clinical criteria. The mean age at diagnosis is 31 years (±13; range: 4-64 years).

Professional guidelines

PubMed

Ilodibia TF, Odia JO
J Electrocardiol 2021 Sep-Oct;68:14-23. Epub 2021 Jul 7 doi: 10.1016/j.jelectrocard.2021.06.007. PMID: 34273803
Cronin H, Crinion D, Kerins D, Fahy G, Vaughan CJ
Ir J Med Sci 2020 Nov;189(4):1283-1287. Epub 2020 May 14 doi: 10.1007/s11845-020-02239-x. PMID: 32405922
Sheikh N, Papadakis M, Wilson M, Malhotra A, Adamuz C, Homfray T, Monserrat L, Behr ER, Sharma S
Circulation 2018 Sep 18;138(12):1184-1194. doi: 10.1161/CIRCULATIONAHA.118.034208. PMID: 29764897Free PMC Article

Recent clinical studies

Etiology

Sedova KA, Demidova MM, Azarov JE, Hejda J, Carlson J, Bernikova OG, Arteyeva N, Erlinge D, Platonov PG
J Electrocardiol 2022 Mar-Apr;71:28-31. Epub 2022 Jan 5 doi: 10.1016/j.jelectrocard.2021.12.008. PMID: 35026678
Bosman LP, Te Riele ASJM
Heart 2022 Jan;108(2):90-97. Epub 2021 May 14 doi: 10.1136/heartjnl-2021-319113. PMID: 33990412
Jaiswal V, Sarfraz Z, Sarfraz A, Mukherjee D, Batra N, Hitawala G, Yaqoob S, Patel A, Agarwala P, Ruchika, Sarfraz M, Bano S, Azeem N, Naz S, Jaiswal A, Sharma P, Chaudhary G
J Prim Care Community Health 2021 Jan-Dec;12:21501327211056800. doi: 10.1177/21501327211056800. PMID: 34854348Free PMC Article
Essayagh B, Sabbag A, Antoine C, Benfari G, Yang LT, Maalouf J, Asirvatham S, Michelena H, Enriquez-Sarano M
J Am Coll Cardiol 2020 Aug 11;76(6):637-649. doi: 10.1016/j.jacc.2020.06.029. PMID: 32762897
Bresnahan S, Eastwood JA
Am J Crit Care 2007 Mar;16(2):137-40. PMID: 17322013

Diagnosis

Essayagh B, Sabbag A, Antoine C, Benfari G, Yang LT, Maalouf J, Asirvatham S, Michelena H, Enriquez-Sarano M
J Am Coll Cardiol 2020 Aug 11;76(6):637-649. doi: 10.1016/j.jacc.2020.06.029. PMID: 32762897
D'Ascenzi F, Anselmi F, Adami PE, Pelliccia A
Clin Cardiol 2020 Aug;43(8):827-833. Epub 2020 Apr 7 doi: 10.1002/clc.23365. PMID: 32259342Free PMC Article
Flett AS, Maestrini V, Milliken D, Fontana M, Treibel TA, Harb R, Sado DM, Quarta G, Herrey A, Sneddon J, Elliott P, McKenna W, Moon JC
Int J Cardiol 2015 Mar 15;183:143-8. Epub 2015 Jan 27 doi: 10.1016/j.ijcard.2015.01.054. PMID: 25666123Free PMC Article
Nable JV, Brady W
Am J Emerg Med 2009 Jul;27(6):734-46. doi: 10.1016/j.ajem.2008.05.025. PMID: 19751632
Bresnahan S, Eastwood JA
Am J Crit Care 2007 Mar;16(2):137-40. PMID: 17322013

Therapy

Sedova KA, Demidova MM, Azarov JE, Hejda J, Carlson J, Bernikova OG, Arteyeva N, Erlinge D, Platonov PG
J Electrocardiol 2022 Mar-Apr;71:28-31. Epub 2022 Jan 5 doi: 10.1016/j.jelectrocard.2021.12.008. PMID: 35026678
Tafoya C, Singh A
J Emerg Med 2019 Jul;57(1):85-93. Epub 2019 Apr 30 doi: 10.1016/j.jemermed.2019.02.018. PMID: 31047746
Mehta N, Vannozzi R
Clin Cardiol 2017 Dec;40(12):1363-1367. Epub 2017 Dec 16 doi: 10.1002/clc.22822. PMID: 29247520Free PMC Article
Kurl S, Mäkikallio TH, Laukkanen JA
Ann Med 2015 Feb;47(1):69-73. Epub 2015 Jan 22 doi: 10.3109/07853890.2014.985703. PMID: 25613172
Walder LA, Spodick DH
J Am Coll Cardiol 1991 Jun;17(7):1479-85. doi: 10.1016/0735-1097(91)90635-m. PMID: 1827807

Prognosis

Cadrin-Tourigny J, Bosman LP, Nozza A, Wang W, Tadros R, Bhonsale A, Bourfiss M, Fortier A, Lie ØH, Saguner AM, Svensson A, Andorin A, Tichnell C, Murray B, Zeppenfeld K, van den Berg MP, Asselbergs FW, Wilde AAM, Krahn AD, Talajic M, Rivard L, Chelko S, Zimmerman SL, Kamel IR, Crosson JE, Judge DP, Yap SC, van der Heijden JF, Tandri H, Jongbloed JDH, Guertin MC, van Tintelen JP, Platonov PG, Duru F, Haugaa KH, Khairy P, Hauer RNW, Calkins H, Te Riele ASJM, James CA
Eur Heart J 2022 Aug 21;43(32):e1-e9. doi: 10.1093/eurheartj/ehac180. PMID: 35441664Free PMC Article
Sedova KA, Demidova MM, Azarov JE, Hejda J, Carlson J, Bernikova OG, Arteyeva N, Erlinge D, Platonov PG
J Electrocardiol 2022 Mar-Apr;71:28-31. Epub 2022 Jan 5 doi: 10.1016/j.jelectrocard.2021.12.008. PMID: 35026678
Bosman LP, Te Riele ASJM
Heart 2022 Jan;108(2):90-97. Epub 2021 May 14 doi: 10.1136/heartjnl-2021-319113. PMID: 33990412
Ranjbar A, Sohrabi B, Sadat-Ebrahimi SR, Ghaffari S, Kazemi B, Aslanabadi N, Seyvani B, Hajizadeh R
BMC Cardiovasc Disord 2021 Jan 12;21(1):27. doi: 10.1186/s12872-021-01851-8. PMID: 33435890Free PMC Article
Kurl S, Mäkikallio TH, Laukkanen JA
Ann Med 2015 Feb;47(1):69-73. Epub 2015 Jan 22 doi: 10.3109/07853890.2014.985703. PMID: 25613172

Clinical prediction guides

Cadrin-Tourigny J, Bosman LP, Nozza A, Wang W, Tadros R, Bhonsale A, Bourfiss M, Fortier A, Lie ØH, Saguner AM, Svensson A, Andorin A, Tichnell C, Murray B, Zeppenfeld K, van den Berg MP, Asselbergs FW, Wilde AAM, Krahn AD, Talajic M, Rivard L, Chelko S, Zimmerman SL, Kamel IR, Crosson JE, Judge DP, Yap SC, van der Heijden JF, Tandri H, Jongbloed JDH, Guertin MC, van Tintelen JP, Platonov PG, Duru F, Haugaa KH, Khairy P, Hauer RNW, Calkins H, Te Riele ASJM, James CA
Eur Heart J 2022 Aug 21;43(32):e1-e9. doi: 10.1093/eurheartj/ehac180. PMID: 35441664Free PMC Article
Sedova KA, Demidova MM, Azarov JE, Hejda J, Carlson J, Bernikova OG, Arteyeva N, Erlinge D, Platonov PG
J Electrocardiol 2022 Mar-Apr;71:28-31. Epub 2022 Jan 5 doi: 10.1016/j.jelectrocard.2021.12.008. PMID: 35026678
Bosman LP, Te Riele ASJM
Heart 2022 Jan;108(2):90-97. Epub 2021 May 14 doi: 10.1136/heartjnl-2021-319113. PMID: 33990412
Sengul C, Cakir C, Barutcu S, Sarikaya R
J Electrocardiol 2020 Jul-Aug;61:66-70. Epub 2020 May 15 doi: 10.1016/j.jelectrocard.2020.05.008. PMID: 32554158
Cadrin-Tourigny J, Bosman LP, Nozza A, Wang W, Tadros R, Bhonsale A, Bourfiss M, Fortier A, Lie ØH, Saguner AM, Svensson A, Andorin A, Tichnell C, Murray B, Zeppenfeld K, van den Berg MP, Asselbergs FW, Wilde AAM, Krahn AD, Talajic M, Rivard L, Chelko S, Zimmerman SL, Kamel IR, Crosson JE, Judge DP, Yap SC, van der Heijden JF, Tandri H, Jongbloed JDH, Guertin MC, van Tintelen JP, Platonov PG, Duru F, Haugaa KH, Khairy P, Hauer RNW, Calkins H, Te Riele ASJM, James CA
Eur Heart J 2019 Jun 14;40(23):1850-1858. doi: 10.1093/eurheartj/ehz103. PMID: 30915475Free PMC Article

Recent systematic reviews

Ramchandani R, Zhou Z, Parodi JB, Farina JM, Liblik K, Sotomayor J, Burak C, Herman R, Baranchuk A
Curr Probl Cardiol 2023 May;48(5):101630. Epub 2023 Jan 31 doi: 10.1016/j.cpcardiol.2023.101630. PMID: 36731688
Jaiswal V, Sarfraz Z, Sarfraz A, Mukherjee D, Batra N, Hitawala G, Yaqoob S, Patel A, Agarwala P, Ruchika, Sarfraz M, Bano S, Azeem N, Naz S, Jaiswal A, Sharma P, Chaudhary G
J Prim Care Community Health 2021 Jan-Dec;12:21501327211056800. doi: 10.1177/21501327211056800. PMID: 34854348Free PMC Article
McClean G, Riding NR, Ardern CL, Farooq A, Pieles GE, Watt V, Adamuz C, George KP, Oxborough D, Wilson MG
Br J Sports Med 2018 Feb;52(4):230. Epub 2017 Mar 31 doi: 10.1136/bjsports-2016-097052. PMID: 28363973
Wu JR, Liu S, Zhang XM, Zhang B
Chin J Integr Med 2017 Apr;23(4):306-311. Epub 2016 Dec 5 doi: 10.1007/s11655-016-2272-0. PMID: 27921196
Wilson MG, Sharma S, Carré F, Charron P, Richard P, O'Hanlon R, Prasad SK, Heidbuchel H, Brugada J, Salah O, Sheppard M, George KP, Whyte G, Hamilton B, Chalabi H
Br J Sports Med 2012 Nov;46 Suppl 1(Suppl_1):i51-8. doi: 10.1136/bjsports-2011-090838. PMID: 23097480Free PMC Article

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