ECG Diagnosis: Hyperacute T Waves
1Senior Emergency Physician at the Santa Clara Medical Center, and Clinical Assistant Professor of Emergency Medicine (Surgery) at Stanford University. He is the Medical Director for the Foothill College Paramedic Program in Los Altos, CA. joel.levis@kp.org.
Abstract:
After QT prolongation, hyperacute T waves are the earliest-described electrocardiographic sign of acute ischemia, preceding ST-segment elevation. The principle entity to exclude is hyperkalemia-this T-wave morphology may be confused with the hyperacute T wave of early transmural myocardial infarction.
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