ECG Blog #120 (ECG Video-16) - Chest Pain with Giant T Waves

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This is the 16th installment of my ECG Video Blog (12 minutes). Today's ECG was obtained from a 50-year old man with chest pain. How would you systematically interpret his ECG? What diagnostic entities should you consider? Click on the link below for a detailed linked CONTENTS (so that you can easily navigate through the video).

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NOTE: There are advantages to using a video format format. These include:

• Ability to illustrate concepts not done full justice by the written word.
• Greater dispersion of my content through Google & YouTube. This material is free for anyone to use.

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LINKS to my ECG Video-Blog installments:

• ECG Video-Blog #1-Revised (= Blog #95) — Is there AV Block?
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• ECG Video-Blog #2 (= Blog #96) — Bundle Branch Blocks
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• ECG Video-Blog #3 (= Blog #97) — SVT with marked ST Depression
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• ECG Video-Blog #4 (= Blog #98) — Clinical Arrhythmia Mgmt (Part I )
• ECG Video-Blog #5 (= Blog #99) — Clinical Arrhythmia Mgmt (Part 2 )
• ECG Video-Blog #6 (= Blog #100) — Clinical Arrhythmia Mgmt (Part 3 )
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• ECG Video-Blog #7 (= Blog #101) — Wide Tachycardia + Chest Pain
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• ECG Video-Blog #8 ( = Blog #105) — Basics of AV Block
• ECG Video-Blog #9 ( = Blog #110) — Complete AV Block? / Laddergrams
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• ECG Video-Blogs #10,11,12 ( = Blog #113) — Rhythm Diagnosis Basics
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• ECG Video-Blog #13 ( = Blog #116) — Essentials of Axis / Hemiblocks
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• ECG Video-Blog #14 ( = Blog #117) — Brugada Syndrome
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• ECG Video-Blog #15 ( = Blog #118) — QRST Changes
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• ECG Video-Blog #16 ( = Blog #120) — Giant T Waves
•    Click Here for Timed Contents to the Giant T Waves Video!

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     This is the 16th installment of my ECG Video Blog. This video is 12 minutes long. The case is about a 50-year old man with chest pain, whose ECG is shown in Figure 1. 

• How would you interpret his 12-lead ECG (Figure 1).
• What diagnostic entities should you consider in your differential diagnosis?
• NOTE: I aimed my content at an Intermediate level interpreter (with emphasis on BASIC concepts plus LOTS of PEARLS for more advanced interpreters along the way). 

Hope you enjoy this! I welcome your feedback! (Ken Grauer, MD – ekgpress@mac.com).

Figure-1: 12-lead ECG obtained from a 50-year old man with chest pain. How would you interpret this tracing? What clinical entities should you consider? NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window.

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Table: The 2-Step Systematic Approach to ECG Interpretation.

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Figure-2: Entities associated with Giant T Wave Inversion.

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GO TO — https://youtu.be/gtdLfS4Q3Gw — on YouTube to view this ECG Video (12 minutes). —

• Click Here  — for a Timed CONTENTS of Video-Blog #16 on Giant T Waves.
• Please also see our ECG Blog #59 (on Giant T Wave Inversion).
• Addition details on this case are explained in my Comment on ECG Guru (for 12/15/2015).
• Please also check out my ECG Video Blog page on Google. The link is easy to remember = www.videoecg.com -

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NOTE: For a Power Point Show (.ppsx) version of my Video Blogs - CLICK HERE. This folder will contain links to download a .ppsx version that allows faster viewing:

• Download the .ppsx to your computer desktop.
• The PPT show is without automatic sound. YOU activate only the Audio clips you want.
• Hover your mouse over the highlighted Audio. You may play and/or pause if/as you like.
• Feel free to use this .ppsx for teaching with my blessings!

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Acknowledgment — to Dawn Altman of the ECG Guru — for allowing the use of this case & tracing.
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