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T Wave Peaked by ECG Finding

MedGen UID:
65981
•Concept ID:
C0239242
•
Finding
Synonyms: T Wave Peaked; T Wave Peaked by EKG Finding

Definition

An electrocardiographic finding in which the T wave appears increased in amplitude and cresting at a point. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVT Wave Peaked by ECG Finding

Professional guidelines

PubMed

Positive intravascular test dose criteria in children during total intravenous anesthesia with propofol and remifentanil are different than during inhaled anesthesia.
Polaner DM, Zuk J, Luong K, Pan Z
Anesth Analg 2010 Jan 1;110(1):41-5. Epub 2009 Nov 21 doi: 10.1213/ANE.0b013e3181c5f2dc. PMID: 19933529
Effects of presentation and electrocardiogram on time to treatment of hyperkalemia.
Freeman K, Feldman JA, Mitchell P, Donovan J, Dyer KS, Eliseo L, White LF, Temin ES
Acad Emerg Med 2008 Mar;15(3):239-49. doi: 10.1111/j.1553-2712.2008.00058.x. PMID: 18304054
Relationship between systolic pulsed wave tissue Doppler parameters and both invasive and noninvasive reperfusion criteria in patients with acute anterior myocardial infarction undergoing primary percutaneous coronary intervention.
Abdel-Wahab M, El-Shahed G, Awadalla H, Amin M, El-Hammady W, Ayoub A
J Am Soc Echocardiogr 2008 Jan;21(1):47-52. Epub 2007 Jul 12 doi: 10.1016/j.echo.2007.05.032. PMID: 17628410

Recent clinical studies

Etiology

Initial and terminal T wave angle as hyperkalemia indicator in chronic kidney disease.
Mulia EPB, Luke K, Yofrido FM, Julario R
Postgrad Med 2022 Nov;134(8):795-800. Epub 2022 Aug 8 doi: 10.1080/00325481.2022.2109336. PMID: 35916239
Hyperkalaemia mimics pseudostemi infarct pattern.
Idilbi N, Zbidat M
BMJ Case Rep 2022 Feb 2;15(2) doi: 10.1136/bcr-2021-247444. PMID: 35110288Free PMC Article
Electrocardiographic T-wave morphology and risk of mortality.
Isaksen JL, Ghouse J, Graff C, Olesen MS, Holst AG, Pietersen A, Nielsen JB, Skov MW, Kanters JK
Int J Cardiol 2021 Apr 1;328:199-205. Epub 2020 Dec 13 doi: 10.1016/j.ijcard.2020.12.016. PMID: 33321127
Electrocardiographic T wave alterations and prediction of hyperkalemia in patients with acute kidney injury.
Regolisti G, Maggiore U, Greco P, Maccari C, Parenti E, Di Mario F, Pistolesi V, Morabito S, Fiaccadori E
Intern Emerg Med 2020 Apr;15(3):463-472. Epub 2019 Nov 4 doi: 10.1007/s11739-019-02217-x. PMID: 31686358
ECG alterations suggestive of hyperkalemia in normokalemic versus hyperkalemic patients.
Varga C, Kálmán Z, Szakáll A, Drubits K, Koch M, Bánhegyi R, Oláh T, Pozsgai É, Fülöp N, Betlehem J
BMC Emerg Med 2019 May 31;19(1):33. doi: 10.1186/s12873-019-0247-0. PMID: 31151388Free PMC Article

Diagnosis

Initial and terminal T wave angle as hyperkalemia indicator in chronic kidney disease.
Mulia EPB, Luke K, Yofrido FM, Julario R
Postgrad Med 2022 Nov;134(8):795-800. Epub 2022 Aug 8 doi: 10.1080/00325481.2022.2109336. PMID: 35916239
Electrocardiographic manifestations of severe hyperkalemia.
Littmann L, Gibbs MA
J Electrocardiol 2018 Sep-Oct;51(5):814-817. Epub 2018 Jul 4 doi: 10.1016/j.jelectrocard.2018.06.018. PMID: 30177318
The pathogenesis of reversible T-wave inversions or large upright peaked T-waves: Sympathetic T-waves.
Y-Hassan S
Int J Cardiol 2015 Jul 15;191:237-43. Epub 2015 May 1 doi: 10.1016/j.ijcard.2015.04.233. PMID: 25981361
Electrolyte disorders and arrhythmogenesis.
El-Sherif N, Turitto G
Cardiol J 2011;18(3):233-45. PMID: 21660912
Early repolarization.
Mehta M, Jain AC, Mehta A
Clin Cardiol 1999 Feb;22(2):59-65. doi: 10.1002/clc.4960220203. PMID: 10068841Free PMC Article

Therapy

Electrocardiographic manifestations of severe hyperkalemia.
Littmann L, Gibbs MA
J Electrocardiol 2018 Sep-Oct;51(5):814-817. Epub 2018 Jul 4 doi: 10.1016/j.jelectrocard.2018.06.018. PMID: 30177318
Dopamine D2-receptor Antagonist Droperidol Deepens Sevoflurane Anesthesia.
Araki R, Hayashi K, Sawa T
Anesthesiology 2018 Apr;128(4):754-763. doi: 10.1097/ALN.0000000000002046. PMID: 29251645
The algorithmic performance of J-Tpeak for drug safety clinical trial.
Chien SC, Gregg RE
J Electrocardiol 2017 Nov-Dec;50(6):762-768. Epub 2017 Aug 15 doi: 10.1016/j.jelectrocard.2017.08.018. PMID: 28942951
f-Wave suppression method for improvement of locating T-Wave ends in electrocardiograms during atrial fibrillation.
Du X, Rao N, Ou F, Xu G, Yin L, Wang G
Ann Noninvasive Electrocardiol 2013 May;18(3):262-70. Epub 2013 Jan 20 doi: 10.1111/anec.12034. PMID: 23714085Free PMC Article
ECG manifestations of multiple electrolyte imbalance: peaked T wave to P wave ("tee-pee sign").
Johri AM, Baranchuk A, Simpson CS, Abdollah H, Redfearn DP
Ann Noninvasive Electrocardiol 2009 Apr;14(2):211-4. doi: 10.1111/j.1542-474X.2009.00283.x. PMID: 19419407Free PMC Article

Prognosis

Improved T-wave detection in electrocardiogram signals based non-stationary wavelet transform and QRS complex cancellation with kurtosis analysis.
Sharma N, Sunkaria RK
Physiol Meas 2023 Dec 6;44(12) doi: 10.1088/1361-6579/ad0b3e. PMID: 37944176
Initial and terminal T wave angle as hyperkalemia indicator in chronic kidney disease.
Mulia EPB, Luke K, Yofrido FM, Julario R
Postgrad Med 2022 Nov;134(8):795-800. Epub 2022 Aug 8 doi: 10.1080/00325481.2022.2109336. PMID: 35916239
Electrocardiographic T-wave morphology and risk of mortality.
Isaksen JL, Ghouse J, Graff C, Olesen MS, Holst AG, Pietersen A, Nielsen JB, Skov MW, Kanters JK
Int J Cardiol 2021 Apr 1;328:199-205. Epub 2020 Dec 13 doi: 10.1016/j.ijcard.2020.12.016. PMID: 33321127
Electrocardiographic T wave alterations and prediction of hyperkalemia in patients with acute kidney injury.
Regolisti G, Maggiore U, Greco P, Maccari C, Parenti E, Di Mario F, Pistolesi V, Morabito S, Fiaccadori E
Intern Emerg Med 2020 Apr;15(3):463-472. Epub 2019 Nov 4 doi: 10.1007/s11739-019-02217-x. PMID: 31686358
The De Winter ECG pattern: morphology and accuracy for diagnosing acute coronary occlusion: systematic review.
Morris NP, Body R
Eur J Emerg Med 2017 Aug;24(4):236-242. doi: 10.1097/MEJ.0000000000000463. PMID: 28362646

Clinical prediction guides

Improved T-wave detection in electrocardiogram signals based non-stationary wavelet transform and QRS complex cancellation with kurtosis analysis.
Sharma N, Sunkaria RK
Physiol Meas 2023 Dec 6;44(12) doi: 10.1088/1361-6579/ad0b3e. PMID: 37944176
Initial and terminal T wave angle as hyperkalemia indicator in chronic kidney disease.
Mulia EPB, Luke K, Yofrido FM, Julario R
Postgrad Med 2022 Nov;134(8):795-800. Epub 2022 Aug 8 doi: 10.1080/00325481.2022.2109336. PMID: 35916239
Electrocardiographic T-wave morphology and risk of mortality.
Isaksen JL, Ghouse J, Graff C, Olesen MS, Holst AG, Pietersen A, Nielsen JB, Skov MW, Kanters JK
Int J Cardiol 2021 Apr 1;328:199-205. Epub 2020 Dec 13 doi: 10.1016/j.ijcard.2020.12.016. PMID: 33321127
Electrocardiographic T wave alterations and prediction of hyperkalemia in patients with acute kidney injury.
Regolisti G, Maggiore U, Greco P, Maccari C, Parenti E, Di Mario F, Pistolesi V, Morabito S, Fiaccadori E
Intern Emerg Med 2020 Apr;15(3):463-472. Epub 2019 Nov 4 doi: 10.1007/s11739-019-02217-x. PMID: 31686358
The De Winter ECG pattern: morphology and accuracy for diagnosing acute coronary occlusion: systematic review.
Morris NP, Body R
Eur J Emerg Med 2017 Aug;24(4):236-242. doi: 10.1097/MEJ.0000000000000463. PMID: 28362646

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
The De Winter ECG pattern: morphology and accuracy for diagnosing acute coronary occlusion: systematic review.
Morris NP, Body R
Eur J Emerg Med 2017 Aug;24(4):236-242. doi: 10.1097/MEJ.0000000000000463. PMID: 28362646

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