Deep T Wave Inversions - Differential
Normal variants
A. Juvenile T wave pattern
B. Early repolarization
Myocardial ischemia/infarction
Takotsubo (stress; apical ballooning) cardiomyopathy
Cerebrovascular accident (especially intracranial bleeds) and related neurogenic patterns
Left or right ventricular overload
A. Typical patterns (formerly referred to as 'strain" patterns)
B. Apical hypertrophic cardiomyopathy (Yamaguchi syndrome)
Idiopathic global T wave inversion syndrome
Secondary T wave alterations: bundle branch blocks, Wolff-Parkinson-White patterns
Intermittent left bundle branch block, preexcitation, or ventricular pacing ("memory T waves")
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