Nonspecific ST-segment and T-wave changes
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Differential Diagnosis of Causes of Non Specific ST segment and T Wave changes
- Adrenal insufficiency
- Anxiety
- Central nervous system diseases
- Gallbladder disease
- Hyperkalemia
- Hyperventilation (in 70% of patients after 30 to 60 seconds)
- Hypokalemia
- Hypopituitarism
- Hypothyroidism
- Ischemic heart disease
- Left ventricular hypertrophy (LVH)
- Mitral valve prolapse (MVP)
- Orthostatic changes (3 to 23%), most prominent in the inferior leads
- Pacemaker
- Pancreatitis
- Pheochromocytoma
- Postprandial T-waves changes. One of the most common causes. 50% of patients will have normal EKGs when repeated in the fasting state.
- Pulmonary embolism
- Pericarditis
- Right ventricular hypertrophy (RVH)
- Truncal vagotomy
References
1. Hammill S. C. Electrocardiographic diagnoses: Criteria and definitions of abnormalities, Chapter 18, MAYO Clinic, Concise Textbook of Cardiology, 3rd edition, 2007 ISBN 0-8493-9057-5
Additional resources
- ECGpedia: Course for interpretation of ECG
- The whole ECG - A basic ECG primer
- 12-lead ECG library
- Simulation tool to demonstrate and study the relation between the electric activity of the heart and the ECG
- ECG information from Children's Hospital Heart Center, Seattle
- ECG Challenge from the ACC D2B Initiative
- National Heart, Lung, and Blood Institute, Diseases and Conditions Index
- A history of electrocardiography
- EKG Interpretations in infants and children
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
