DIFFERENCES IN NEGATIVE T WAVES IN RIGHT PRECORDIAL LEADS BETWEEN ACUTE PULMONARY EMBOLISM AND WELLENS SYNDROME
https://doi.org/10.24884/2072-6716-2020-21-2-55-62
Abstract
The aim of this study is to estimate the possibility of using the differences of negative T waves in the right precordial leads for the differential diagnosis of the pulmonary thromboembolism (pulmonary embolism) and Wellens syndrome. We studied the first ECGs with T-wave inversion in leads V1 –V3 in 70 patients (38 patients with pulmonary embolism and 32 patients with Wellens syndrome). The ratio of the magnitude of negative T wave in the lead V1 to the magnitude of negative T wave in the lead V3 (TV1/TV3) was more than 0.5 in all patients with pulmonary embolism and in only one (4.5%) patient with Wellens syndrome. So, this criterion TV1/TV3 >0.5 may by useful for the differential diagnosis of these diseases.
About the Authors
E. S. Mazur
Tver State Medical University
Russian Federation
Russian Federation
Mazur Evgeny Stanislavovich
Tver
V. V. Mazur
Tver State Medical University
Russian Federation
Russian Federation
Vera V. Mazur
Tver
N. D. Bazhenov
Tver State Medical University
Russian Federation
Russian Federation
Nikolay D. Bazhenov
Tver
R. M. Rabinovich
Tver Regional Hospital
Russian Federation
Russian Federation
Robert M. Rabinovich
Tver
N. S. Kuznetsova
Tver State Medical University
Russian Federation
Russian Federation
Natalya S. Kuznetsova
Tver
D. V. Alekseev
Tver State Medical University
Russian Federation
Russian Federation
Denis V. Alekseev
Tver
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Review
For citations:
Mazur E.S., Mazur V.V., Bazhenov N.D., Rabinovich R.M., Kuznetsova N.S., Alekseev D.V. DIFFERENCES IN NEGATIVE T WAVES IN RIGHT PRECORDIAL LEADS BETWEEN ACUTE PULMONARY EMBOLISM AND WELLENS SYNDROME. EMERGENCY MEDICAL CARE. 2020;21(2):55-62. (In Russ.) https://doi.org/10.24884/2072-6716-2020-21-2-55-62
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