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81 Possible Causes for Agitation, aVR, T Wave Inversion

  • Pericarditis

    Reciprocal ST depression and PR elevation in V1 and aVR.[lifeinthefastlane.com] […] have Q waves during evolution ST-segment elevation in middle and left precordial leads, but may be widespread Upward convex ST-segment elevation May have T-wave inversion[aafp.org] The most common co-existing conditions in Pericarditis and stress are: Depression Pain Agitation Hypertension Hypotension Diabetes Schizophrenia Blood pressure Post-traumatic[pericarditispain.info]

  • Acute Myocardial Infarction

    The main wave direction of QRS in lead aVR was positive and showed an extreme right axis deviation.[ncbi.nlm.nih.gov] Features may initially be normal but abnormalities include new ST-segment elevation; initially peaked T waves and then T-wave inversion; new Q waves; new conduction defects[patient.info] A catheter was placed in the right atrium in front of the fossa ovalis, and agitated saline solution was injected while the anesthesiologist induced a Valsalva maneuver.[pediatrics.aappublications.org]

  • Myocardial Infarction

    ECG revealed a diminished R wave in V2-V4 with ST elevation in V2-V5 and in aVR. Biphasic T wave was seen in V2-V6.[ncbi.nlm.nih.gov] Electrocardiography showed a sinus rhythm with Q-wave formation in the inferior wall leads (II, III, aVF), T-wave inversion in the same leads, and borderline QT prolongation[ncbi.nlm.nih.gov] Hyperthermic complications Excessive cocaine use can result in hallucinations, agitation, and hyperthermia, and management is urgent.[doi.org]

  • Tricyclic Antidepressant Overdose

    […] with retrograde P waves, complete right bundle branch block, prolonged QT interval, unusual ST segment elevation and T-wave inversion in V2–V3, and a prominent R wave in aVR[innovationsincrm.com] 4% of cases approx) CNS Ataxia Nystagmus Sedation, coma Seizures (about 5% of cases) Amblyopia Anticholinergic Mydriasis Dry mouth Absent bowel sounds Urinary retention Agitation[emed.ie] Initial or mild symptoms typically develop within 2 hours and include tachycardia, drowsiness, a dry mouth, nausea and vomiting, urinary retention, confusion, agitation, and[en.wikipedia.org]

  • Mitral Valve Prolapse

    ARD 45mm One pregnancy without complication, Surgery for threatened aortic dissection First Son MVP, MR, AI ARD 47mm No Second Son MVP, MR Surgery for aortic dissection & AVR[ncbi.nlm.nih.gov] inversion in I–aVL; Q wave in inferior leads T-wave inversion in V 1 –V 2 T-wave inversion in V 1 –V 3 T-wave inversion in V 1 –V 3 Echocardiographic findings Maximal septal[dx.doi.org] 29 21 Endocarditis 21 26 Degenerative 120 13 Unknown etiology 46 34 Papillary muscle rupture 10 7 Valve thrombosis 0 1 Previous valve surgery Previous MVR 2 10 Previous AVR[dx.doi.org]

  • Antidepressant Toxicity

    This finding is easily detected by noticing an R wave in lead aVR of the EKG. (See example above).[thepoisonreview.com] […] and T-wave inversion in V2–V3, and a prominent R wave in aVR.[innovationsincrm.com] […] hypotension Abdomen: hypoactive or absent bowel sounds, suprapubic fullness secondary to urinary retention Neuro: Initially altered mental status including delirium and agitation[coreem.net]

  • Pulmonary Embolism

    The most frequent ECG signs found in patients with acute PE were tachycardia (38%), T‐wave inversion in lead V1 (38%), and ST elevation in lead aVR (36%).[doi.org] T-wave inversion in right precordial leads is a well-recognised ECG manifestation of right ventricular strain; however, biphasic T waves in the setting of pulmonary embolism[ncbi.nlm.nih.gov] Hypoxia, which may cause anxiety, restlessness, agitation and impaired consciousness. Pyrexia. Elevated jugular venous pressure.[patient.info]

  • Acute Pericarditis

    All the patients in the two groups showed consistent ST-segment depression in lead aVR and absence of ST-segment elevation in lead V1.[ncbi.nlm.nih.gov] Chest pain subsided within the day of admission followed by T-wave inversion on electrocardiogram.[ncbi.nlm.nih.gov] […] cardiac output. 18,19 Signs and Symptoms Symptoms Symptoms resulting from decreased cardiac output and congestion include dyspnea, chest discomfort, weakness, restlessness, agitation[clevelandclinicmeded.com]

  • Pulmonary Edema

    The patient was told that he should not go jogging, that he was near the point where he should consider AVR, but that the AVR "was not urgent".[casesjournal.biomedcentral.com] Fig 4: Example ECG 1 in CPO Sinus Tachycardia with widespread T wave inversion and Q waves V1 and V2 Fig 5: Example ECG 2 in CPO Atrial flutter with 2:1 block Fig 6: Example[rcemlearning.co.uk] Neurogenic pulmonary edema is suggested by her acute agitation.[professional.diabetes.org]

  • Post-Infarction Pericarditis

    Reciprocal ST depression and PR elevation in V1 and aVR.[lifeinthefastlane.com] Ancillary observations regarding the effect of reperfusion on the rapidity and amplitude of T wave inversion after acute myocardial infarction .[link.springer.com] Echocardiography may be used to guide the needle as agitated saline is injected through it.[merckmanuals.com]

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