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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).
Sick sinus syndrome 2, autosomal dominant
MedGen UID:
320273
Concept ID:
C1834144
Disease or Syndrome
Sick sinus syndrome (also known as sinus node dysfunction) is a group of related heart conditions that can affect how the heart beats. "Sick sinus" refers to the sino-atrial (SA) node, which is an area of specialized cells in the heart that functions as a natural pacemaker. The SA node generates electrical impulses that start each heartbeat. These signals travel from the SA node to the rest of the heart, signaling the heart (cardiac) muscle to contract and pump blood. In people with sick sinus syndrome, the SA node does not function normally. In some cases, it does not produce the right signals to trigger a regular heartbeat. In others, abnormalities disrupt the electrical impulses and prevent them from reaching the rest of the heart.\n\nSick sinus syndrome tends to cause the heartbeat to be too slow (bradycardia), although occasionally the heartbeat is too fast (tachycardia). In some cases, the heartbeat rapidly switches from being too fast to being too slow, a condition known as tachycardia-bradycardia syndrome. Symptoms related to abnormal heartbeats can include dizziness, light-headedness, fainting (syncope), a sensation of fluttering or pounding in the chest (palpitations), and confusion or memory problems. During exercise, many affected individuals experience chest pain, difficulty breathing, or excessive tiredness (fatigue). Once symptoms of sick sinus syndrome appear, they usually worsen with time. However, some people with the condition never experience any related health problems.\n\nSick sinus syndrome occurs most commonly in older adults, although it can be diagnosed in people of any age. The condition increases the risk of several life-threatening problems involving the heart and blood vessels. These include a heart rhythm abnormality called atrial fibrillation, heart failure, cardiac arrest, and stroke.
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).
Glycogen storage disease XV
MedGen UID:
462104
Concept ID:
C3150754
Disease or Syndrome
Glycogen storage disease type 15 is an extremely rare genetic glycogen storage disease reported in one patient to date. Clinical signs included muscle weakness, cardiac arrhythmia associated with accumulation of abnormal storage material in the heart and glycogen depletion in skeletal muscle.

Professional guidelines

PubMed

Nohria R, Viera AJ
Am Fam Physician 2024 Jan;109(1):34-42. PMID: 38227869
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

Recent clinical studies

Etiology

Nohria R, Viera AJ
Am Fam Physician 2024 Jan;109(1):34-42. PMID: 38227869
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
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
Bridgman PG, Chan CW
Echocardiography 2017 Jan;34(1):122-123. Epub 2016 Nov 2 doi: 10.1111/echo.13405. PMID: 27804168

Diagnosis

Nohria R, Viera AJ
Am Fam Physician 2024 Jan;109(1):34-42. PMID: 38227869
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
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
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
Nable JV, Brady W
Am J Emerg Med 2009 Jul;27(6):734-46. doi: 10.1016/j.ajem.2008.05.025. PMID: 19751632

Therapy

Li C, Li P, Peddibhotla B, Teng C, Shi A, Lu X, Cai P, Dai Q, Wang B
ESC Heart Fail 2024 Jun;11(3):1795-1801. Epub 2024 Feb 12 doi: 10.1002/ehf2.14719. PMID: 38344896Free PMC Article
Farina JM, Yinadsawaphan T, Jaroszewski DE, Aly MR, Botros M, Cheema KP, Fatunde OA, Sorajja D
J Electrocardiol 2024 Jan-Feb;82:19-26. Epub 2023 Nov 19 doi: 10.1016/j.jelectrocard.2023.11.007. PMID: 38000149
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
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

Prognosis

Nohria R, Viera AJ
Am Fam Physician 2024 Jan;109(1):34-42. PMID: 38227869
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
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

Clinical prediction guides

Nohria R, Viera AJ
Am Fam Physician 2024 Jan;109(1):34-42. PMID: 38227869
Calò L, Crescenzi C, Martino A, Casella M, Romeo F, Cappelletto C, Bressi E, Panattoni G, Stolfo D, Targetti M, Toso E, Musumeci MB, Tini G, Ciabatti M, Stefanini M, Silvetti E, Stazi A, Danza ML, Rebecchi M, Canestrelli S, Fedele E, Lanzillo C, Fusco A, Sangiuolo FC, Oliviero G, Radesich C, Perotto M, Pieroni M, Golia P, Mango R, Gasperetti A, Autore C, Merlo M, de Ruvo E, Russo AD, Olivotto I, Sinagra G, Gaita F
JACC Clin Electrophysiol 2023 Dec;9(12):2615-2627. Epub 2023 Sep 27 doi: 10.1016/j.jacep.2023.08.020. PMID: 37768253
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

Recent systematic reviews

Li C, Li P, Peddibhotla B, Teng C, Shi A, Lu X, Cai P, Dai Q, Wang B
ESC Heart Fail 2024 Jun;11(3):1795-1801. Epub 2024 Feb 12 doi: 10.1002/ehf2.14719. PMID: 38344896Free PMC Article
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
Rahim A, Hameed A, Ishaq U, Malik J, Zaidi SMJ, Khurshid H, Malik A, Satti DI, Naz H
Expert Rev Cardiovasc Ther 2022 Jun;20(6):465-479. Epub 2022 Jun 2 doi: 10.1080/14779072.2022.2082945. PMID: 35612830
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

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