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Question

What is a typical ECG finding in patients with cerebral infarct?

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The correct answer is

T wave inversion

Acute cerebrovascular events such as cerebral infarction and particularly subarachnoid haemorrhage are classically associated with abnormal repolarisation on the ECG — most commonly deep, symmetrical T-wave inversions (so-called 'cerebral T waves'), along with QT prolongation and sometimes U waves.

Prominent U waves alone, tall P waves (right atrial enlargement) and a prolonged PR interval (first-degree block) are not the typical primary ECG change of a cerebral infarct.

Hence, T wave inversion.

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Important Questions from Introduction to Cardiovascular Diseases

  1. Which ECG change is most commonly associated with myocardial ischemia?

  2. A patient presents with chest pain and ST elevation in leads II, III, and aVF. According to the universal definition of MI, which coronary artery is most likely involved, and what is the ECG diagnosis?

  3. Which ECG change is most characteristic of an acute myocardial infarction?

  4. Which segment is primarily analyzed to diagnose an ST-elevation myocardial infarction (STEMI)?

  5. In the context of CVS monitoring, which finding in myxedema patients could be explained by their ECG pattern?

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