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158 Possible Causes for aVR, Congestive Heart Failure, T Wave Inversion

  • Aortic Valve Stenosis

    The present patient had severe critical AS with congestive heart failure that was refractory to medical therapy and the fetus was viable ( 28 wks).[ncbi.nlm.nih.gov] Patients were grouped into treatment (aortic valve replacement [AVR]) and conservative (non-AVR) groups.[ncbi.nlm.nih.gov] At this point there may be signs of ventricular strain pattern (ST segment depression and T wave inversion) on the EKG, suggesting subendocardial ischemia.[en.wikipedia.org]

  • 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] We observed decreases among those with a history of diabetes (Yes: 22%, 95% CI 14-29%; No: 25%, 95% CI 18-31%), congestive heart failure (Yes: 23%, 95% CI 16-30%; No: 24%,[ncbi.nlm.nih.gov]

  • Heart Valve Disease

    Bioprosthesis AVR plus no risk factor*Aspirin, 80–100 mg/d I AVR plus risk factor*Warfarin, INR 2 to 3 I MVR plus no risk factor*Aspirin, 80–100 mg/d I MVR plus risk factor[ahajournals.org] Increased life expectancy and age-related valvular degeneration remain the predominant contributors to heart valve dysfunction, which if uncorrected lead to congestive heart[ncbi.nlm.nih.gov] Heart valve problems are one cause of congestive heart failure. The mitral and aortic valves are most often affected by heart valve disease.[beaumont.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] Fifty of the patients had died in cardiogenic shock, the remainder from refractory congestive heart failure.[heart.bmj.com]

  • Coronary Atherosclerosis

    heart failure.[ncbi.nlm.nih.gov] Although most will recognise the typical ECG features of ST elevation myocardial infarction, the significance of ST elevation in lead aVR may not always be appreciated.[ncbi.nlm.nih.gov] […] or appearance or disappearance of localized ST-elevation followed by T-wave inversion in two or more standard electrocardiograph leads; (c) increase in concentration of serum[doi.org]

  • Acute Coronary Syndrome

    Small Q waves (ie, 1, V 2, and V 3 ; and lead AVR is often a QS complex normally.[nursingcenter.com] Heart rate 3. Systolic blood pressure 4. Serum creatinine 5. Congestive heart failure: Killip class 6. Cardiac arrest on admission 7. ST-segment deviation 8.[pharmaceutical-journal.com] Lung exam is normal, although at times crackles may be heard pointing toward associated congestive heart failure (CHF).[ncbi.nlm.nih.gov]

  • Hypertensive Heart Disease

    A 1.5-year-old girl developed congestive heart failure 9 months after she presented with hypertension. The hypertension was caused by a renal artery stenosis.[ncbi.nlm.nih.gov] AVR, aortic valve replacement; CMR, cardiovascular magnetic resonance; EDV, end-diastolic volume; HCM,hypertrophic cardiomyopathy; LV, left ventricular; LVH, left ventricular[heart.bmj.com] Nephrectomy proved to be the treatment of choice for hypertension and congestive heart failure.[ncbi.nlm.nih.gov]

  • Secondary Cardiomyopathy

    […] left ventricle, myocardial dysfunction, and congestive heart failure. hypertrophic cardiomyopathy an increase in heart muscle weight, particularly of the left ventricle and[medical-dictionary.thefreedictionary.com] Our patient was noted to have ST-segment elevation in lead aVR, which is associated with global myocardial ischemia and Tako-Tsubo cardiomyopathy.[radcliffecardiology.com] These may include electrocardiogram (ECG) changes of QT prolongation and T wave inversion, elevated biochemical markers of myocardial damage and heart failure, and decreased[link.springer.com]

  • Ischemic Cardiomyopathy

    Abstract Dilated cardiomyopathy, owing to any cause, usually culminates in the clinical syndrome of congestive heart failure.[ncbi.nlm.nih.gov] Amplitudes of T/aVR were automatically computed from median ECG beats at enrollment and endpoints were blindly adjudicated.[ncbi.nlm.nih.gov] Signs include congestive heart failure, angina edema, weight gain and fainting, among others.[en.wikipedia.org]

  • Ventricular Aneurysm

    Prominent R wave in lead aVR (Goldberger sign) The presence of above ECG findings are not pathognomonic for the presence of LVA.[metealpaslan.com] ECG Examples Example 1 Anterior Left Ventricular Aneurysm: Minimal ST elevation in V1-3 associated with deep Q waves and T-wave inversion.[lifeinthefastlane.com] Complications of ventricular aneurysm such as chronic congestive heart failure and rupture of the aneurysm were infrequent causes of death, and systemic embolic phenomena[ahajournals.org]

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