Casos

The electrocardiogram of impossible diagnosis: Diffuse biphasic up-down T-wave

Dr. José Cláudio Lupi Kruse
Dr. José Cláudio Lupi Kruse
Brazil

Case presentation

This ECG belongs to a middle aged man, asymptomatic, hypertensive well controlled. It was repeated several times and always kept the same ECG pattern.
We are sure that it is not electrode misplaced, or loose.
Echocardiogram: normal.

Question:

How to explain the biphasic “plus-minus” or up-down T-waves diffusely registered?

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Auspicios Institucionales
  • Sociedad Argentina de Cardiología
  • Federación Argentina de Cardiología
  • SIAC
  • SADEC
  • Asociación Argentina de Cardiología
  • Latin American Heart Rhythm Society
  • Fundación Barceló - Facultad de Medicina