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T Waves Biphasic by ECG Finding

MedGen UID:
418085
•Concept ID:
C2348639
•
Finding
Synonyms: T Waves Biphasic; T Waves Biphasic by EKG Finding

Definition

An electrocardiographic finding of a T wave with both positive and negative components. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVT Waves Biphasic by ECG Finding

Professional guidelines

PubMed

Electrocardiographic features in Andersen-Tawil syndrome patients with KCNJ2 mutations: characteristic T-U-wave patterns predict the KCNJ2 genotype.
Zhang L, Benson DW, Tristani-Firouzi M, Ptacek LJ, Tawil R, Schwartz PJ, George AL, Horie M, Andelfinger G, Snow GL, Fu YH, Ackerman MJ, Vincent GM
Circulation 2005 May 31;111(21):2720-6. Epub 2005 May 23 doi: 10.1161/CIRCULATIONAHA.104.472498. PMID: 15911703
New criteria for the diagnosis of healed inferior wall myocardial infarction in patients with left bundle branch block.
Laham CL, Hammill SC, Gibbons RJ
Am J Cardiol 1997 Jan 1;79(1):19-22. doi: 10.1016/s0002-9149(96)00669-8. PMID: 9024729

Recent clinical studies

Etiology

Novel ECG-based scoring tool for prediction of takotsubo syndrome.
Gassanov N, Le MT, Caglayan E, Hellmich M, Erdmann E, Er F
Clin Res Cardiol 2019 Jan;108(1):68-73. Epub 2018 Jun 27 doi: 10.1007/s00392-018-1314-3. PMID: 29951804
Treating her well.
Theunissen JMG, Lameijer H
Emerg Med J 2018 Apr;35(4):246-247. doi: 10.1136/emermed-2017-206967. PMID: 29559540
Pitfalls in Electrocardiographic Diagnosis of Acute Coronary Syndrome in Low-Risk Chest Pain.
Tewelde SZ, Mattu A, Brady WJ Jr
West J Emerg Med 2017 Jun;18(4):601-606. Epub 2017 Apr 17 doi: 10.5811/westjem.2017.1.32699. PMID: 28611879Free PMC Article
LVH and the diagnosis of STEMI - how should we apply the current guidelines?
Birnbaum Y, Alam M
J Electrocardiol 2014 Sep-Oct;47(5):655-60. Epub 2014 Jun 5 doi: 10.1016/j.jelectrocard.2014.06.001. PMID: 24997779
The fetal electrocardiogram: ST waveform analysis during labour.
Rosén KG, Luzietti R
J Perinat Med 1994;22(6):501-12. doi: 10.1515/jpme.1994.22.6.501. PMID: 7674104

Diagnosis

Novel ECG-based scoring tool for prediction of takotsubo syndrome.
Gassanov N, Le MT, Caglayan E, Hellmich M, Erdmann E, Er F
Clin Res Cardiol 2019 Jan;108(1):68-73. Epub 2018 Jun 27 doi: 10.1007/s00392-018-1314-3. PMID: 29951804
Pseudo-Wellens' syndrome in pulmonary embolism.
Sedhai YR, Basnyat S, Bhattacharya PT
BMJ Case Rep 2018 Dec 19;11(1) doi: 10.1136/bcr-2018-227464. PMID: 30573540Free PMC Article
Treating her well.
Theunissen JMG, Lameijer H
Emerg Med J 2018 Apr;35(4):246-247. doi: 10.1136/emermed-2017-206967. PMID: 29559540
Pitfalls in Electrocardiographic Diagnosis of Acute Coronary Syndrome in Low-Risk Chest Pain.
Tewelde SZ, Mattu A, Brady WJ Jr
West J Emerg Med 2017 Jun;18(4):601-606. Epub 2017 Apr 17 doi: 10.5811/westjem.2017.1.32699. PMID: 28611879Free PMC Article
LVH and the diagnosis of STEMI - how should we apply the current guidelines?
Birnbaum Y, Alam M
J Electrocardiol 2014 Sep-Oct;47(5):655-60. Epub 2014 Jun 5 doi: 10.1016/j.jelectrocard.2014.06.001. PMID: 24997779

Therapy

ECG as a risk stratification tool in patients with wearable cardioverter-defibrillator.
Gassanov N, Mutallimov M, Caglayan E, Erdmann E, Er F
J Cardiol 2022 Dec;80(6):573-577. Epub 2022 Aug 16 doi: 10.1016/j.jjcc.2022.08.001. PMID: 35985868
Pseudo-Wellens' syndrome in pulmonary embolism.
Sedhai YR, Basnyat S, Bhattacharya PT
BMJ Case Rep 2018 Dec 19;11(1) doi: 10.1136/bcr-2018-227464. PMID: 30573540Free PMC Article
Importance of morphological changes in T-U waves during bepridil therapy as a predictor of ventricular arrhythmic event.
Kurokawa S, Niwano S, Kiryu M, Murakami M, Ishikawa S, Yumoto Y, Moriguchi M, Niwano H, Kosukegawa T, Izumi T
Circ J 2010 May;74(5):876-84. Epub 2010 Mar 30 doi: 10.1253/circj.cj-09-0937. PMID: 20354335
The fetal electrocardiogram: ST waveform analysis during labour.
Rosén KG, Luzietti R
J Perinat Med 1994;22(6):501-12. doi: 10.1515/jpme.1994.22.6.501. PMID: 7674104
Epicardial activation and repolarization patterns in patients with right ventricular hypertrophy.
Chen PS, Moser KM, Dembitsky WP, Auger WR, Daily PO, Calisi CM, Jamieson SW, Feld GK
Circulation 1991 Jan;83(1):104-18. doi: 10.1161/01.cir.83.1.104. PMID: 1824619

Prognosis

ECG as a risk stratification tool in patients with wearable cardioverter-defibrillator.
Gassanov N, Mutallimov M, Caglayan E, Erdmann E, Er F
J Cardiol 2022 Dec;80(6):573-577. Epub 2022 Aug 16 doi: 10.1016/j.jjcc.2022.08.001. PMID: 35985868
Novel ECG-based scoring tool for prediction of takotsubo syndrome.
Gassanov N, Le MT, Caglayan E, Hellmich M, Erdmann E, Er F
Clin Res Cardiol 2019 Jan;108(1):68-73. Epub 2018 Jun 27 doi: 10.1007/s00392-018-1314-3. PMID: 29951804
Electrocardiography based prediction of hypertrophy pattern and fibrosis amount in hypertrophic cardiomyopathy: comparative study with cardiac magnetic resonance imaging.
Park CH, Chung H, Kim Y, Kim JY, Min PK, Lee KA, Yoon YW, Kim TH, Lee BK, Hong BK, Rim SJ, Kwon HM, Choi EY
Int J Cardiovasc Imaging 2018 Oct;34(10):1619-1628. Epub 2018 May 4 doi: 10.1007/s10554-018-1365-6. PMID: 29728953
T-wave changes in patients with Wellens syndrome are associated with increased myocardial mechanical and electrical dispersion.
Stankovic I, Kafedzic S, Janicijevic A, Cvjetan R, Vulovic T, Jankovic M, Ilic I, Putnikovic B, Neskovic AN
Int J Cardiovasc Imaging 2017 Oct;33(10):1541-1549. Epub 2017 May 27 doi: 10.1007/s10554-017-1181-4. PMID: 28551719
A wavelet-based ECG delineation algorithm for 32-bit integer online processing.
Di Marco LY, Chiari L
Biomed Eng Online 2011 Apr 3;10:23. doi: 10.1186/1475-925X-10-23. PMID: 21457580Free PMC Article

Clinical prediction guides

ECG as a risk stratification tool in patients with wearable cardioverter-defibrillator.
Gassanov N, Mutallimov M, Caglayan E, Erdmann E, Er F
J Cardiol 2022 Dec;80(6):573-577. Epub 2022 Aug 16 doi: 10.1016/j.jjcc.2022.08.001. PMID: 35985868
Novel ECG-based scoring tool for prediction of takotsubo syndrome.
Gassanov N, Le MT, Caglayan E, Hellmich M, Erdmann E, Er F
Clin Res Cardiol 2019 Jan;108(1):68-73. Epub 2018 Jun 27 doi: 10.1007/s00392-018-1314-3. PMID: 29951804
Electrocardiography based prediction of hypertrophy pattern and fibrosis amount in hypertrophic cardiomyopathy: comparative study with cardiac magnetic resonance imaging.
Park CH, Chung H, Kim Y, Kim JY, Min PK, Lee KA, Yoon YW, Kim TH, Lee BK, Hong BK, Rim SJ, Kwon HM, Choi EY
Int J Cardiovasc Imaging 2018 Oct;34(10):1619-1628. Epub 2018 May 4 doi: 10.1007/s10554-018-1365-6. PMID: 29728953
A wavelet-based ECG delineation algorithm for 32-bit integer online processing.
Di Marco LY, Chiari L
Biomed Eng Online 2011 Apr 3;10:23. doi: 10.1186/1475-925X-10-23. PMID: 21457580Free PMC Article
The fetal electrocardiogram: ST waveform analysis during labour.
Rosén KG, Luzietti R
J Perinat Med 1994;22(6):501-12. doi: 10.1515/jpme.1994.22.6.501. PMID: 7674104

Recent systematic reviews

Evaluation of the QT interval in patients with drug-induced QT prolongation and torsades de pointes.
Krisai P, Vlachos K, Ramirez FD, Nakatani Y, Nakashima T, Takagi T, Kamakura T, Surget E, André C, Cheniti G, Welte N, Chauvel R, Tixier R, Duchateau J, Pambrun T, Derval N, Hocini M, Jaïs P, Haïssaguerre M, Sacher F
J Cardiovasc Electrophysiol 2020 Oct;31(10):2696-2701. Epub 2020 Jul 28 doi: 10.1111/jce.14687. PMID: 32700358

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