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120 Possible Causes for aVR, Exertional Dyspnea, T Wave Inversion

  • Aortic Valve Stenosis

    dyspnea.[doi.org] 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]

  • Pericarditis

    After treatment with diuretics, the peripheral edema improved significantly, but the patient still complained of severe dyspnea on exertion during the hospitalization.[casesjournal.biomedcentral.com] Reciprocal ST depression and PR elevation in V1 and aVR.[lifeinthefastlane.com] Stage III: In stage III, there are widespread T wave inversions. Stage IV: In stage IV, there is normalization of T waves.[symptoma.com]

  • Coronary Atherosclerosis

    Patients who have “ischemic equivalents,” such as dyspnea or arm pain with exertion, are included in the latter group.[doi.org] 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

    dyspnea that resolves with pain or rest Diaphoresis from sympathetic discharge Nausea from vagal stimulation Decreased exercise tolerance Physical findings can range from[emedicine.medscape.com] Small Q waves (ie, 1, V 2, and V 3 ; and lead AVR is often a QS complex normally.[nursingcenter.com] Typical angina symptoms predictive of AMI in younger patients were less helpful in predicting AMI in the elderly population. [21] Autonomic symptoms such as dyspnea, diaphoresis[ncbi.nlm.nih.gov]

  • Arrhythmogenic Right Ventricular Dysplasia

    The signs and symptoms of Arrhythmogenic Right Ventricular Cardiomyopathy include: Shortness of breath during physical activity/exertion (exertional dyspnea) Shortness of[dovemed.com] New algorithm using only lead aVR for differential diagnosis of wide QRS complex tachycardia. Heart Rhythm . 2008 Jan. 5 (1):89-98. [Medline] . Kannankeril PJ, Roden DM.[emedicine.medscape.com] The patient had T-wave inversion in the inferior ECG leads and no history of arrhythmias.[ncbi.nlm.nih.gov]

  • Chronic Constrictive Pericarditis

    , such as fatigability and dyspnea on exertion.[hindawi.com] […] demonstrates ST segment depression this lead also may demonstrate PR segment elevation diffuse PR segment depression excluding the aforementioned (lead aVR) later, T wave[radiopaedia.org] […] 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]

  • Pulmonary Embolism

    Dyspnea may be absent or occur only with exertion. The onset of dyspnea may occur over seconds to days. Orthopnea occurs with PE as well as heart failure.[ncbi.nlm.nih.gov] 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%).[ncbi.nlm.nih.gov] 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]

  • Left Bundle Branch Block

    A 61-year-old man was referred to our hospital with exertional dyspnea.[ncbi.nlm.nih.gov] AIMS: Conventional aortic valve replacement (AVR), sutureless AVR (su-AVR) and transcatheter aortic valve implantation (TAVI) for severe aortic stenosis (AS) are associated[ncbi.nlm.nih.gov] The precordial leads in these patients will demonstrate alarmingly deep, symmetrical T-wave inversions.[ncbi.nlm.nih.gov]

  • Heart Valve Disease

    Patients with chronic AR are asymptomatic for years but eventually develop exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea, and palpitations.[symptoma.com] 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] Symptoms include shortness of breath during exertion (exertional dyspnea), heart-related chest pain (angina pectoris) and fainting spells (syncope).[drugs.com]

  • Acute Myocardial Infarction

    AMIs occur most likely in the early hours of the morning and with exertion.[symptoma.com] 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]

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