tag:blogger.com,1999:blog-573013489446562328.post3344044949229588912..comments2024-03-17T10:42:38.084-07:00Comments on Everyday E(B)M: EKG Challenge No. 7 Case Conclusion - Not Everything is a Medical MysteryAnonymoushttp://www.blogger.com/profile/09366751728316037926noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-573013489446562328.post-41782625821715380862023-08-30T17:16:36.206-07:002023-08-30T17:16:36.206-07:00Thank you foor writing thisThank you foor writing thisAnak en Yusnihttps://anakenyusni.blogspot.com/noreply@blogger.comtag:blogger.com,1999:blog-573013489446562328.post-58962156251104040162015-01-07T19:28:21.937-08:002015-01-07T19:28:21.937-08:00Thanks @WashUEM. Evidently this is the hot new ECG...Thanks @WashUEM. Evidently this is the hot new ECG pattern of the new year! *<br /><br />* (Based on a trend of two blog posts.)Brooks Walshhttps://www.blogger.com/profile/16108633682893762401noreply@blogger.comtag:blogger.com,1999:blog-573013489446562328.post-90370090116751761542015-01-07T16:45:17.264-08:002015-01-07T16:45:17.264-08:00Nice post Walsh on Steve Smith's ECG - http://...Nice post Walsh on Steve Smith's ECG - http://hqmeded-ecg.blogspot.com/2015/01/persistent-juvenile-t-wave-pattern.html - encourage everyone to read it.Anonymoushttps://www.blogger.com/profile/09366751728316037926noreply@blogger.comtag:blogger.com,1999:blog-573013489446562328.post-85903481408179525412015-01-02T22:35:56.803-08:002015-01-02T22:35:56.803-08:00That link with LQT2 is new to me Brooks; nice find...That link with LQT2 is new to me Brooks; nice find!<br /><br />I agree that these are bifid T-waves and not typical of what we usually think of as a "persistent juvenile T-wave pattern" (which show frank inversions). In a case like this I imagine it more that we are just catching this patient at the tail-end of childhood and, unlike the usual persistent pattern, these T-waves won't still be present 10–20 years from now.Vince Dhttps://www.blogger.com/profile/10636259293820649555noreply@blogger.comtag:blogger.com,1999:blog-573013489446562328.post-22938227989304523852015-01-02T18:27:31.368-08:002015-01-02T18:27:31.368-08:00Great topic, and a wonderfully focused review!
L...Great topic, and a wonderfully focused review! <br /><br />Looking over your ECG, though, I wondered if this was the best choice to illustrate your post. The T-waves in V2 and V3 don’t actually appear to be inverted, or even biphasic. Instead, they show a bifid T-wave pattern. <br /><br />Bifid T-waves are somewhat rare in adults, but have been associated with the LQT2 pattern of congenital long-QT syndrome.* However, these have been described as a normal variant in V2 and V3 in children.**<br /><br />More importantly, though, these have not, to my understanding, ever been reported as a form of the persistent juvenile T-wave pattern. For that matter, although Mattu states that the persistent juvenile pattern includes biphasic T-waves, this has not been described in the literature either. Indeed, some authors explicitly exclude biphasic T-waves in their definition.*** <br /><br /><br />* http://circ.ahajournals.org/content/102/23/2849.full<br />** http://www.ijponline.net/content/35/1/17<br />*** http://www.ncbi.nlm.nih.gov/pubmed/15842973<br />Brooks Walshhttps://www.blogger.com/profile/16108633682893762401noreply@blogger.comtag:blogger.com,1999:blog-573013489446562328.post-52318462281544738212015-01-02T14:34:25.152-08:002015-01-02T14:34:25.152-08:00Probably a sinus arrythmmia - look at the V1 strip...Probably a sinus arrythmmia - look at the V1 strip at the bottom.Anonymoushttps://www.blogger.com/profile/09366751728316037926noreply@blogger.comtag:blogger.com,1999:blog-573013489446562328.post-77305439111326107652015-01-02T09:16:21.218-08:002015-01-02T09:16:21.218-08:00Is it just coincidental that the RRI is so differe...Is it just coincidental that the RRI is so different in those complexes identified with juvenile T wave inversions? Could those be non-conducted PAC's. I am not sure but longer simultaneous leads can resolve the doubt. Anonymousnoreply@blogger.com