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160 Possible Causes for aVR, Fever, 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 pericarditis usually appears 7-10 days after the onset of fever and arthritis.[emedicine.com]

  • Aortic Valve Stenosis

    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] While rheumatic fever is rare in the United States, some older adults had rheumatic fever as children.[mayoclinic.org]

  • 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] This pericarditis is due to dengue fever.[ncbi.nlm.nih.gov]

  • 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] Abstract Thrombotic microangiopathy (TMA) is a rare but lethal multisystem disease characterized by peripheral thrombocytopenia, microangiopathic hemolytic anemia, fever,[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] Mitral Stenosis (MS) Rheumatic fever accounts for most cases of MS. Mitral Regurgitation (MR) Chronic MR is caused by infective endocarditis, rheumatic fever, and MVP.[symptoma.com] Transcatheter Pulmonic Valve Implantation (Medtronic MELODY valve) Surgical-based procedures Surgical valve replacement including minimally invasive aortic valve replacement (AVR[heart.ucla.edu]

  • 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] We report the case of 56 year old male, who presented with high grade fever and leukocytosis.[ncbi.nlm.nih.gov]

  • 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] Seizures Pyramidal signs and rigidity Ophthalmoplegia Anticholinergic features Dry mouth Blurred vision Dilated pupils Urinary retention Ileus, absent bowel sounds High fever[derangedphysiology.com] Nystagmus Sedation, coma Seizures (about 5% of cases) Amblyopia Anticholinergic Mydriasis Dry mouth Absent bowel sounds Urinary retention Agitation ECG changes Tall R in avR[emed.ie]

  • Viral Myocarditis

    Pericarditis on EKG: a diagnosis of exclusion - particularly must exclude ACS Diffuse ST elevations with depressions allowed in V1 or aVR.[hippoed.com] Rat-bite Fever Fever (Rat bite) Synonyms include streptobacillary fever, streptobacillosis, Haverhill fever, epidemic arthritic erythema, spirillary fever and sodoku.[evidence.nhs.uk] RESULTS: The age of onset of 1 VMC is less than 1 year old with the majority, fever, precordial pain, and fatigue as the main manifestation, auxiliary examination of abnormal[ncbi.nlm.nih.gov]

  • Kawasaki Disease

    Aortic valve regurgitation (AVR) is a relatively common complication.[ncbi.nlm.nih.gov] These changes include decreased R-wave voltage, ST-segment depression with T-wave flattening or inversion and a prolonged PR or QT interval (or both). 3 Coronary artery abnormalities[web.archive.org] Fever is a constant clinical criterion described in all forms of the diseases; however, there are a few case reports in which the diagnosis was made without fever [ 3, 4 ][doi.org]

  • 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] High grade fever is a rare presentation of thromboembolic phenomenon. A middle aged woman presented with high grade fevers.[ncbi.nlm.nih.gov]

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