Masood Ali Akbar, Imran Waheed, Salman Munir, Shahid Amin, Nadeem Hayat Mallick.
A study of electrocardiographic t wave inversion in patients with tight mid left anterior descending artery stenosis.
J Cardiovascular Dis Jan ;12(2):30-2.

OBJECTIVE: To determine the frequency of Electrocardiographic T wave inversion in patients with Tight mid Left Anterior Descending Artery stenosis. MATERIAL AND METHODS:This study was conducted from 1st of July 2015 to 31st of December 2015 at department of cardiology, Punjab Institute of Cardiology Lahore. All the patients in study population had acute coronary syndrome (ACS). A total of 500 patients of all ages and both genders who had undergone angiography and had a tight mid left anterior descending artery (LAD) stenosis were studied. All the patients with secondary T wave inversion were excluded from the study. Evaluation of Electrocardiograms in the cases under study and coronary angiograms were done by consultant cardiologists. RESULTS: T wave inversion in aVL was found in 420 (84%)ECGs in patients with tight mid LAD lesions while T wave inversion in leads V5, V6, I and V4 was found in 40(08%),15(03%)15(03%),and 10(02%) patients respectively. CONCLUSION: Hence we conclude here that T wave inversion in lead aVL is quite commonly seen in patients with tight mid LAD stenosis. KEY WORDS: Acute Coronary Syndrome, Mid LAD, T wave inversion.

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