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44 Possible Causes for Narrow Pulse Pressure, T Wave Inversion

  • Myocardial Infarction

    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] ST segment depression and T wave inversion are associated with subendocardial infarction.[histopathology-india.net] Biphasic/inverted T waves in V1-5. Poor R wave progression (R wave height 3mm in V3). Abnormal Q waves and T-wave inversion in I and aVL.[lifeinthefastlane.com]

  • Hypertrophic Cardiomyopathy

    His electrocardiogram exhibited a biphasic T wave in lead V2 with ST depressions in leads V3-V6 with deep symmetrical T-wave inversions in these leads as well.[ncbi.nlm.nih.gov] The most peculiar electrocardiogram findings are giant T-waves inversion in the precordial leads with left ventricular (LV) hypertrophy.[ncbi.nlm.nih.gov] Giant T wave inversions in the precordial leads Inverted T waves are also seen in the inferior and lateral leads.[lifeinthefastlane.com]

  • Acute Myocardial Infarction

    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] This is because LBBB alone can produce signs that may be confused with those of infarction: deep QS waves in the right chest leads and ST depression and T wave inversion in[medicine-on-line.com]

  • Aortic Valve Stenosis

    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] Signs Examination of the pulse in significant AS reveals a slow-rising, flat character called pulsus parvus et tardus. [ 7 ] Blood pressure will show a narrow pulse pressure[patient.info] Clinical examination classically reveals a narrow pulse pressure, a slow-rising peripheral pulse, pulsus parvus et tardus (weak and delayed pulse) in the carotid pulse, a[radiopaedia.org]

  • Myxedema

    ECGs of myxedema coma patients have three classic features: 1) bradycardia, 2) low voltage, and 3) widespread T-wave inversions.[sinaiem.org] pulse pressure.[emedicine.com] Other findings include low voltage, flattening or inversion of the T waves, and prolongation of the PR interval.[emjournal.net]

  • Restrictive Cardiomyopathy

    Haemodynamic features delineated in the 1940s and '50s included the narrow pulse pressure in the right ventricle with normal systolic pressure and greatly increased diastolic[heart.bmj.com]

  • Chronic Constrictive Pericarditis

    […] 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] Ancillary observations regarding the effect of reperfusion on the rapidity and amplitude of T wave inversion after acute myocardial infarction.[clevelandclinicmeded.com] Nonspecific T wave flattening and inversion as well as atrial arrhythmia may be seen. Low voltage is not commonly present.[cancertherapyadvisor.com]

  • Coronary Artery Disease

    […] 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] […] high blood pressure.[medicinenet.com] The ECG can show ST segment shifts and/or T-wave inversions as signs of heart ischemia or injury. However, there are electrically silent areas in the standard monitors.[emedicine.com]

  • Hypovolemia

    Apical hypertrophy associated with rapid T wave inversion on the electrocardiogram. Heart Vessels. 1995;10:221–4.[ccforum.com] If the difference is less than 25 percent of the systolic blood pressure, the pulse pressure is considered to be narrow.[ems1.com] Class IV hemorrhage (loss of 40%) Symptoms include the following: marked tachycardia, decreased systolic BP, narrowed pulse pressure (or immeasurable diastolic pressure),[emedicine.medscape.com]

  • Anterior Myocardial Infarction

    wave inversion, suggesting evolved anterior wall myocardial infarction (AWMI).[cardiophile.org] His blood pressure, pulse rate, and other clinical parameters were stable.[ncbi.nlm.nih.gov] Biphasic/inverted T waves in V1-5. Poor R wave progression (R wave height 3mm in V3). Abnormal Q waves and T-wave inversion in I and aVL.[lifeinthefastlane.com]

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