Extensive T‐Wave Inversion Associated With Chest Pain: Elucidating the Underlying Truth
ABSTRACT A patient with episodic chest pain, diaphoresis, amaurosis, and dizziness, along with a history of hypertension, presented with electrocardiographic findings of ST elevation in aVR, diffuse T‐wave inversion, and QTc prolongation. Initial diagnosis of NSTEMI was reconsidered after coronary a...
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| Format: | Article |
| Language: | English |
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Wiley
2025-07-01
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| Series: | Annals of Noninvasive Electrocardiology |
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| Online Access: | https://doi.org/10.1111/anec.70102 |
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| author | Jing‐Xiu Li Xin‐Xin Di Min Gao Xue‐Qi Li |
| author_facet | Jing‐Xiu Li Xin‐Xin Di Min Gao Xue‐Qi Li |
| author_sort | Jing‐Xiu Li |
| collection | DOAJ |
| description | ABSTRACT A patient with episodic chest pain, diaphoresis, amaurosis, and dizziness, along with a history of hypertension, presented with electrocardiographic findings of ST elevation in aVR, diffuse T‐wave inversion, and QTc prolongation. Initial diagnosis of NSTEMI was reconsidered after coronary angiography excluded significant stenosis, revealing myocardial bridging. Echocardiography and cardiac MRI showed preserved function without ischemia. Markedly elevated plasma renin and urinary normetanephrine, along with a retroperitoneal mass, suggested paraganglioma. Laparoscopic resection confirmed a 4.0 × 3.5 cm paraganglioma. This case highlights the importance of recognizing atypical ECG patterns that may mimic ischemia in catecholamine‐secreting tumors to guide timely diagnosis and intervention. |
| format | Article |
| id | doaj-art-5cc68963ebd2468e8b8fb094dc893176 |
| institution | Kabale University |
| issn | 1082-720X 1542-474X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Annals of Noninvasive Electrocardiology |
| spelling | doaj-art-5cc68963ebd2468e8b8fb094dc8931762025-08-20T03:58:48ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2025-07-01304n/an/a10.1111/anec.70102Extensive T‐Wave Inversion Associated With Chest Pain: Elucidating the Underlying TruthJing‐Xiu Li0Xin‐Xin Di1Min Gao2Xue‐Qi Li3Department of Electrocardiogram The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China Hefei Anhui ChinaDepartment of Electrocardiogram The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China Hefei Anhui ChinaDepartment of Electrocardiogram The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China Hefei Anhui ChinaDepartment of Cardiology The Fourth Affiliated Hospital of Harbin Medical University Harbin ChinaABSTRACT A patient with episodic chest pain, diaphoresis, amaurosis, and dizziness, along with a history of hypertension, presented with electrocardiographic findings of ST elevation in aVR, diffuse T‐wave inversion, and QTc prolongation. Initial diagnosis of NSTEMI was reconsidered after coronary angiography excluded significant stenosis, revealing myocardial bridging. Echocardiography and cardiac MRI showed preserved function without ischemia. Markedly elevated plasma renin and urinary normetanephrine, along with a retroperitoneal mass, suggested paraganglioma. Laparoscopic resection confirmed a 4.0 × 3.5 cm paraganglioma. This case highlights the importance of recognizing atypical ECG patterns that may mimic ischemia in catecholamine‐secreting tumors to guide timely diagnosis and intervention.https://doi.org/10.1111/anec.70102catecholamine‐induced cardiomyopathypheochromocytomawidespread T‐wave inversion |
| spellingShingle | Jing‐Xiu Li Xin‐Xin Di Min Gao Xue‐Qi Li Extensive T‐Wave Inversion Associated With Chest Pain: Elucidating the Underlying Truth Annals of Noninvasive Electrocardiology catecholamine‐induced cardiomyopathy pheochromocytoma widespread T‐wave inversion |
| title | Extensive T‐Wave Inversion Associated With Chest Pain: Elucidating the Underlying Truth |
| title_full | Extensive T‐Wave Inversion Associated With Chest Pain: Elucidating the Underlying Truth |
| title_fullStr | Extensive T‐Wave Inversion Associated With Chest Pain: Elucidating the Underlying Truth |
| title_full_unstemmed | Extensive T‐Wave Inversion Associated With Chest Pain: Elucidating the Underlying Truth |
| title_short | Extensive T‐Wave Inversion Associated With Chest Pain: Elucidating the Underlying Truth |
| title_sort | extensive t wave inversion associated with chest pain elucidating the underlying truth |
| topic | catecholamine‐induced cardiomyopathy pheochromocytoma widespread T‐wave inversion |
| url | https://doi.org/10.1111/anec.70102 |
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