U wave inversion during attacks of variant angina.

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U wave inversion during attacks of variant angina.

Sequential 12 lead electrocardiograms were recorded during angina pectoris induced by ergonovine maleate in 38 patients with variant angina. Transient U wave inversion was observed in 17 patients with ST segment elevation in anterior chest leads, but in only three of 21 patients with ST segment elevation in the inferior leads associated with right coronary artery spasm. In the 17, all of whom h...

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U wave inversion.

The U wave, when first recognized by Einthoven (1906) in the earliest days of electrocardiography, was considered by him to be pathological. Since then the normality of upright U waves, except perhaps in cases where they are unusually high (Katz, 1946), has been generally conceded. Various hypotheses have been advanced to explain the U wave, of which the most satisfactory is that of Hoff and Na...

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Exercise-induced U-wave Inversion

The prevalence and cineangiographic correlates of exercise-induced inversion of U waves were studied in 248 patients. Exercise-induced U-wave inversion was observed in 36 patients (15%), of whom 35 had > 75% stenosis in one or more of the major coronary arteries. The proximal left anterior descending or left main coronary artery was involved in 33 of these patients, including 24 patients with n...

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Similarities of ergonovine-induced and spontaneous attacks of variant angina.

Ergonovine has been shown to provoke attacks of variant angina, but a question remains whether spontaneous and ergonovine-induced attacks of variant angina are similar. Seven patients with variant angina undergoing cardiac catheterization were studied during transient episodes of spontaneous and ergonovine-induced rest angina with ST-segment elevation. Clinical, electrocardiographic, left ventr...

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Persistent giant U wave inversion with anoxic brain injury.

Various electrocardiographic changes have been reported in the setting of acute neurological events, among them large, upright U waves. In contrast, the occurrence of inverted U waves is strongly suggestive of cardiovascular disease, most commonly hypertension, coronary artery disease, or valvular abnormalities. Presented herein is the case of a 29-year-old man with previous anoxic brain injury...

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ژورنال

عنوان ژورنال: Heart

سال: 1983

ISSN: 1355-6037

DOI: 10.1136/hrt.50.4.378